How To Use CPT Code 0488T

CPT 0488T describes an online or electronic structured intensive program for the prevention of diabetes using a standardized diabetes prevention program curriculum. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0488T?

CPT 0488T can be used to describe an online or electronic structured intensive program for the prevention of diabetes. This program utilizes a standardized curriculum focused on behavior modification and lifestyle changes to prevent or delay the onset of diabetes. The program is delivered to an individual patient at an interval of 30 days.

2. Official Description

The official description of CPT code 0488T is: ‘Preventive behavior change, online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum, provided to an individual, per 30 days.’

3. Procedure

1. The provider conducts an online or electronic structured intensive program for the prevention of diabetes.
2. The program utilizes a standardized diabetes prevention program curriculum that focuses on behavior modification and lifestyle changes.
3. Patients with impaired glucose tolerance participate in the program to discuss the effects of lifestyle and behavior modification, as well as changes in pharmacological therapy.
4. The program includes care management, interaction with a lifestyle coach who has completed nationally recognized training for lifestyle modification, and enrollment in clinically approved educational lessons for stress, nutrition and weight management, and exercise.
5. The provider holds the online or electronic meeting every month to deliver the program.

4. Qualifying circumstances

CPT 0488T is appropriate for patients with impaired glucose tolerance who participate in an online or electronic structured intensive program for the prevention of diabetes. The program aims to prevent or delay the onset of diabetes through behavior modification and lifestyle changes. Patients interact with a lifestyle coach and receive education on stress management, nutrition and weight management, and exercise. The program is delivered online or via electronic technology.

5. When to use CPT code 0488T

CPT code 0488T should be used when an online or electronic structured intensive program for the prevention of diabetes is provided to an individual patient. This code should not be reported in conjunction with CPT codes 98960, 98961, 98962, or 0403T.

6. Documentation requirements

To support a claim for CPT code 0488T, the provider must document the following information:

• Patient’s impaired glucose tolerance
• Utilization of a standardized diabetes prevention program curriculum
• Date and frequency of the online or electronic meetings
• Topics covered during the program, including lifestyle modification, behavior change, and pharmacological therapy
• Enrollment in educational lessons for stress, nutrition and weight management, and exercise

7. Billing guidelines

When billing for CPT code 0488T, ensure that the program is delivered online or via electronic technology. Do not report CPT code 0488T in conjunction with CPT codes 98960, 98961, 98962, or 0403T. Consider the location of the program, as in-person delivery should be reported with CPT code 0403T. Follow any additional guidelines provided by the payer regarding the use of modifiers or other reporting requirements.

8. Historical information

CPT code 0488T was added to the Current Procedural Terminology system on January 1, 2018. There have been no updates to the code since its addition.

9. Examples

1. A provider conducts an online structured intensive program for the prevention of diabetes for an individual patient, focusing on behavior modification and lifestyle changes.
2. A patient with impaired glucose tolerance participates in an electronic structured program to discuss the effects of lifestyle and behavior modification, as well as changes in pharmacological therapy, with the goal of preventing or delaying the onset of diabetes.
3. An individual enrolls in an online diabetes prevention program, interacting with a lifestyle coach and receiving education on stress management, nutrition and weight management, and exercise.
4. A provider delivers an electronic intensive program for the prevention of diabetes, utilizing a standardized curriculum and holding monthly online meetings with patients.
5. A patient participates in an online program that includes care management, interaction with a lifestyle coach, and enrollment in educational lessons for stress, nutrition and weight management, and exercise, all aimed at preventing or delaying the onset of diabetes.
6. An individual receives an electronic structured program for the prevention of diabetes, focusing on behavior modification and lifestyle changes, delivered online or via electronic technology.
7. A provider conducts an online intensive program for the prevention of diabetes, utilizing a standardized curriculum and holding regular online meetings with patients.
8. A patient with impaired glucose tolerance enrolls in an electronic program, interacting with a lifestyle coach and receiving education on stress management, nutrition and weight management, and exercise, all aimed at preventing or delaying the onset of diabetes.
9. An individual participates in an online diabetes prevention program, engaging in discussions about lifestyle and behavior modification, as well as changes in pharmacological therapy, with the goal of preventing or delaying the onset of diabetes.
10. A provider delivers an electronic structured program for the prevention of diabetes, utilizing a standardized curriculum and conducting online meetings with patients at regular intervals.