How To Use CPT Code 0591T

CPT 0591T describes the initial assessment performed by a health and well-being coach during a face-to-face meeting with an individual. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0591T?

CPT 0591T can be used to describe the initial assessment conducted by a health and well-being coach during a face-to-face session with an individual. This code is utilized when the coach meets with the individual to evaluate their current health and well-being status and to establish goals for improvement.

2. Official Description

The official description of CPT code 0591T is: ‘Health and well-being coaching face-to-face; individual, initial assessment.’

3. Procedure

1. The health and well-being coach meets with the individual for a face-to-face session.
2. During the session, the coach performs an initial assessment to evaluate the individual’s current health and well-being status.
3. The coach works closely with the individual to set goals for improvement in areas such as nutrition, exercise, and mental and emotional health.
4. Strategies and guidance are provided to help the individual stay motivated and on track to achieve their goals.
5. The coach may also provide support and guidance for individuals dealing with chronic illnesses or serious injuries.
6. Follow-up sessions may be scheduled as needed to monitor progress and make adjustments to the individual’s plan.

4. Qualifying circumstances

Individuals who may benefit from health and well-being coaching include those with newly diagnosed illnesses that require lifestyle changes, those experiencing anxiety or stress that affects their well-being, smokers, and athletes recovering from or wanting to prevent injuries. The coaching is provided by a health and well-being coach during a face-to-face session.

5. When to use CPT code 0591T

CPT code 0591T should be used when a health and well-being coach conducts an initial assessment during a face-to-face session with an individual. This code is appropriate for reporting the first assessment session. Subsequent sessions should be reported with different codes, if applicable.

6. Documentation requirements

To support a claim for CPT code 0591T, the health and well-being coach must document the following information:

• Reason for the initial assessment
• Specific goals established during the session
• Date and duration of the face-to-face session
• Details of the assessment, including the individual’s current health and well-being status
• Strategies and guidance provided to help the individual achieve their goals
• Any follow-up sessions scheduled
• Signature of the health and well-being coach

7. Billing guidelines

When billing for CPT code 0591T, ensure that the service is provided by a health and well-being coach during a face-to-face session with an individual. It is important to follow the specific guidelines provided by the payer regarding coverage and reimbursement for this code. Additionally, it is advisable to code and report the procedure for tracking purposes, even if it may not be covered by insurance providers.

8. Historical information

CPT code 0591T was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. A health and well-being coach conducting an initial assessment to evaluate an individual’s nutrition, exercise, and mental health status.
2. A face-to-face session with a health and well-being coach to set goals for improvement in an individual with newly diagnosed diabetes.
3. An individual meeting with a health and well-being coach to receive guidance and support for managing stress and anxiety.
4. A health and well-being coach performing an initial assessment for an athlete recovering from a sports-related injury.
5. A smoker seeking assistance from a health and well-being coach to develop a plan for quitting smoking.
6. An individual meeting with a health and well-being coach to establish goals for weight loss and overall well-being.
7. A health and well-being coach conducting an initial assessment to evaluate an individual’s current physical fitness and develop an exercise plan.
8. A face-to-face session with a health and well-being coach to address the mental and emotional well-being of an individual dealing with chronic pain.
9. An individual meeting with a health and well-being coach to develop strategies for managing a newly diagnosed chronic illness.
10. A health and well-being coach performing an initial assessment to evaluate an individual’s overall well-being and provide guidance for improvement.