How To Use CPT Code 0593T

CPT 0593T describes the health and well-being coaching services provided by a coach to a group of two or more individuals for at least 30 minutes. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0593T?

CPT 0593T can be used to describe the health and well-being coaching services provided by a coach to a group of two or more individuals. This code is used when the coach conducts a coaching session lasting at least 30 minutes, where they work closely with the individuals to help them set goals and improve their nutrition, exercise, and mental and emotional health. The coaching session includes motivation, guidance, and support to help individuals achieve their goals and improve their overall well-being.

2. Official Description

The official description of CPT code 0593T is: ‘Health and well-being coaching face-to-face; group (2 or more individuals), at least 30 minutes.’

3. Procedure

  1. The health and well-being coach meets with a group of two or more individuals for a coaching session lasting at least 30 minutes.
  2. During the session, the coach works closely with the individuals to help them set goals and improve their nutrition, exercise, and mental and emotional health.
  3. The coach provides strategies to deal with chronic illnesses, such as diabetes or obesity, and serious injuries.
  4. They also work with the individuals to improve their overall well-being and provide motivation, guidance, and support to help them stay on track to achieve their goals.
  5. The coaching session may include discussions on lifestyle changes, stress management, and injury prevention or recovery.
  6. Additional sessions may be scheduled as needed to ensure continued progress and support for the individuals.

4. Qualifying circumstances

Individuals who may benefit from health and well-being coaching include those with newly diagnosed illnesses that require lifestyle changes, those with anxiety or stress serious enough to affect their well-being, smokers, and athletes recovering from an injury or wanting to prevent an injury. The coaching session must be conducted face-to-face with a group of two or more individuals for at least 30 minutes.

5. When to use CPT code 0593T

CPT code 0593T should be used when a health and well-being coach meets with a group of two or more individuals for a coaching session lasting at least 30 minutes. This code should not be reported in conjunction with codes 96164, 96165, 97150, 98961, 98962, or 0403T.

6. Documentation requirements

To support a claim for CPT code 0593T, the health and well-being coach must document the following information:

  • Number of individuals in the group
  • Date and duration of the coaching session
  • Topics covered during the session, such as nutrition, exercise, and mental and emotional health
  • Goals set by the individuals and progress made
  • Strategies provided by the coach to deal with chronic illnesses or injuries
  • Signature of the health and well-being coach providing the service

7. Billing guidelines

When billing for CPT code 0593T, ensure that the coaching session is conducted face-to-face with a group of two or more individuals for at least 30 minutes. Do not report CPT code 0593T in conjunction with codes 96164, 96165, 97150, 98961, 98962, or 0403T. It is important to check with the payer to determine if the procedure is covered and payable. Use CPT code 0593T for tracking purposes even if it is not payable.

8. Historical information

CPT code 0593T 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 a coaching session for a group of individuals with newly diagnosed diabetes to help them improve their nutrition and manage their condition.
  2. A coach working with a group of individuals recovering from injuries to provide guidance on exercise and injury prevention.
  3. A health and well-being coach conducting a coaching session for a group of individuals with anxiety to help them develop stress management strategies.
  4. A coach working with a group of smokers to provide support and strategies for smoking cessation.
  5. A health and well-being coach conducting a coaching session for a group of athletes to help them prevent injuries and improve their performance.
  6. A coach working with a group of individuals with obesity to provide guidance on nutrition and exercise for weight management.
  7. A health and well-being coach conducting a coaching session for a group of individuals with chronic illnesses to help them improve their overall well-being.
  8. A coach working with a group of individuals with high levels of stress to provide strategies for improving mental and emotional health.
  9. A health and well-being coach conducting a coaching session for a group of individuals with specific dietary needs to help them develop healthy eating habits.
  10. A coach working with a group of individuals recovering from surgery to provide guidance on exercise and rehabilitation.

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