Summary & Overview
CPT 0592T: Health and Well‑Being Coach Follow‑Up, 30‑Minute Face‑to‑Face
CPT code 0592T covers a face‑to‑face health and well‑being coach follow‑up session lasting at least 30 minutes. Nationally, this code codifies an emerging category of person‑centered behavioral and wellness support services that sit at the intersection of preventive care, chronic disease self‑management, and non‑clinical health coaching. Its explicit time and face‑to‑face requirements standardize reporting and billing for encounters that aim to reinforce behavior change, goal setting, and care activation.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical scope and service setting, common billing modifiers and administrative notes (where available), and context on how this code aligns with broader efforts to recognize non‑clinical supportive services in care delivery. The publication highlights benchmark considerations for utilization and reimbursement approaches, summarizes payer coverage patterns where available, and outlines practical billing and documentation elements that influence claims processing. Data not available in the input will be noted where relevant.
Billing Code Overview
CPT code 0592T describes a health and well-being coaching follow-up session provided face-to-face with an individual for a duration of at least 30 minutes. The service type is health and well‑being coaching (follow-up). The typical site of service is an ambulatory or outpatient face-to-face setting, such as a clinic, wellness center, or other non‑inpatient encounter space.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is a 45–year–old adult enrolled in a primary care or wellness program who has previously completed an initial health and well–being coaching visit and returns for an in‑person follow‑up session lasting at least 30 minutes. The patient may present with chronic disease risk factors (for example, overweight, prediabetes, hypertension, tobacco use, or high stress) or with lifestyle goals such as weight loss, improved physical activity, nutrition changes, sleep optimization, or behavior change for chronic condition self‑management. The clinical workflow begins with scheduling a face‑to‑face coaching follow‑up after an initial assessment. The health and well‑being coach (certified coach, behavioral health coach, or other credentialed non‑physician provider) reviews prior goals and progress, assesses barriers, updates a personalized action plan, and documents a 30+ minute structured session. The coach communicates relevant updates to the referring clinician and documents care coordination or care escalation when indicated. Typical documentation includes start and stop times, topics addressed, measurable goals, barriers discussed, interventions or skills taught, patient readiness and follow‑up plan, and any referrals generated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the session required substantially greater effort or time beyond typical coaching due to complexity of psychosocial issues or extensive care coordination. |