Summary & Overview

CPT 0593T: Group Health and Well‑Being Coaching Session, ≥30 Minutes

CPT code 0593T represents a group health and well‑being coaching session in which a trained coach meets with two or more participants for at least 30 minutes. The code captures growing interest in behavioral and preventive services that address lifestyle, chronic disease self‑management, and wellness promotion at scale. Nationally, this code is relevant as payers and providers explore structured, non‑clinical interventions to improve population health and reduce downstream costs.

Key payers covered in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of coverage patterns and benchmarks, if available, as well as policy and billing considerations tied to implementation. The report outlines clinical context for group coaching services, likely settings for delivery, and common administrative elements that affect claims processing.

This summary provides actionable background for health plan analysts, provider billing teams, and policy stakeholders seeking a national perspective on adoption and coding of group well‑being coaching. Data not available in the input will be identified explicitly in detailed sections that follow.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare0593TCPTgroup coachinghealth coachingbehavioral healthpreventive servicesoutpatient serviceswellness

Billing Code Overview

CPT code 0593T describes a health and well‑being coach conducting a group coaching session for two or more individuals with a minimum duration of 30 minutes.

Service type: Group health and well‑being coaching session.

Typical site of service: Outpatient clinics, community centers, wellness facilities, or other group meeting settings where health coaching is delivered to multiple participants simultaneously.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult enrolled in a primary care clinic or community wellness program who has chronic health goals such as weight management, physical activity initiation, tobacco cessation, diabetes self-management, or stress reduction. The health and well‑being coach meets with a small group of 2 or more participants for a session lasting at least 30 minutes to teach behavioral strategies, goal setting, motivational interviewing, problem solving, and peer support. The clinical workflow commonly includes a referral from a primary care provider or care manager, pre-session screening for eligibility and basic vital signs, scheduling of recurring group coaching sessions (in‑person or virtual), documentation of session content and individual goals in the medical record, and communication of progress back to the referring clinician. Billing is generated using 0593T for each qualifying group session when time and participant count meet code requirements; sessions are often scheduled weekly or biweekly as part of a structured program and may be paired with individualized visits or other preventive services.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	When session requires substantially greater intensity, time, or documentation than typical group coaching sessions (rare).
`23`	Unusual anesthesia	Not typically applicable; included for completeness when anesthesia is involved in a separate related service.
`52`	Reduced services	When the group session is started but substantially reduced in scope or time (e.g., early termination).
`53`	Discontinued procedure	When session is terminated due to an emergent patient event before minimum time is met.
`54`	Surgical care only	Not applicable to coaching; reserved for surgical procedures.
`55`	Postoperative management only	Not applicable to coaching.
`56`	Preoperative management only	Not applicable to coaching.
`62`	Two surgeons	Not applicable to coaching; included only for administrative contexts.
`AS`	Ambulatory surgical center payment modifier	Rarely applicable; used when facility billing rules require designation of ambulatory surgical center site for other billed services.
`CO`	Cast or orthosis	Not applicable to coaching but included in payer modifier lists where durable items are billed.
`CQ`	Service furnished under a primary care exception	Use when the coaching service is furnished under the Medicare primary care exception for certain non‑physician practitioners, where applicable.
`FX`	No hospital outpatient clinic visit	Used when denying or adjusting clinic visit attribution in systems that require explicit clinic modifiers.
`FY`	Residual HCPCS modifier	Rare administrative use; not typically applied to `0593T`.

Taxonomy Code	Specialty	Notes
`103K00000X`	Family Medicine	Primary care physicians who refer or coordinate group coaching programs.
`207Q00000X`	Internal Medicine	Internal medicine clinicians involved in chronic disease programs incorporating group coaching.
`371J00000X`	Nurse Practitioner	NPs who provide or supervise health and well‑being coaching programs.
`363L00000X`	Health Education/Promotion	Health educators or wellness coaches delivering group coaching sessions.
`367A00000X`	Clinical Social Work	Social workers who facilitate behavioral goal setting and group support.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E66.9`	Obesity, unspecified	Obesity is a common target for behavior change interventions delivered in group health coaching for weight management.
`E11.9`	Type 2 diabetes mellitus without complications	Diabetes self‑management and lifestyle modification topics are frequently addressed in group coaching.
`F17.210`	Nicotine dependence, cigarettes, uncomplicated	Smoking cessation goals and strategies are commonly covered in group coaching sessions.
`F41.9`	Anxiety disorder, unspecified	Stress management and coping strategies provided in group coaching can support anxiety symptom management.
`Z71.89`	Other specified counseling	General counseling and health education topics provided in group coaching are captured by this counseling code.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99401`	Preventive medicine counseling and/or risk factor reduction intervention; approximately 15 minutes	Short individual counseling sessions that may precede referral to group coaching for more structured support.
`99402`	Preventive medicine counseling and/or risk factor reduction intervention; approximately 30 minutes	Individual preventive counseling comparable in time to a group coaching session; used when one‑on‑one counseling is provided instead of group.
`99406`	Smoking and tobacco use cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes	Brief tobacco counseling that may be reinforced within group coaching programs; often billed separately for individual counseling.
`99407`	Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes	Intensive individual tobacco cessation counseling that can complement group coaching content.
`G0513`	Transitional care management services with moderate or high complexity medical decision making	Care management services that may coordinate referrals into group health coaching as part of a transitional care plan.

Beta

OpenPayer Beta

Summary & Overview

CPT 0593T: Group Health and Well‑Being Coaching Session, ≥30 Minutes

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare0593TCPTgroup coachinghealth coachingbehavioral healthpreventive servicesoutpatient serviceswellness

Billing Code Overview

CPT code 0593T describes a health and well‑being coach conducting a group coaching session for two or more individuals with a minimum duration of 30 minutes.

Service type: Group health and well‑being coaching session.

Typical site of service: Outpatient clinics, community centers, wellness facilities, or other group meeting settings where health coaching is delivered to multiple participants simultaneously.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	When session requires substantially greater intensity, time, or documentation than typical group coaching sessions (rare).
`23`	Unusual anesthesia	Not typically applicable; included for completeness when anesthesia is involved in a separate related service.
`52`	Reduced services	When the group session is started but substantially reduced in scope or time (e.g., early termination).
`53`	Discontinued procedure	When session is terminated due to an emergent patient event before minimum time is met.
`54`	Surgical care only	Not applicable to coaching; reserved for surgical procedures.
`55`	Postoperative management only	Not applicable to coaching.
`56`	Preoperative management only	Not applicable to coaching.
`62`	Two surgeons	Not applicable to coaching; included only for administrative contexts.
`AS`	Ambulatory surgical center payment modifier	Rarely applicable; used when facility billing rules require designation of ambulatory surgical center site for other billed services.
`CO`	Cast or orthosis	Not applicable to coaching but included in payer modifier lists where durable items are billed.
`CQ`	Service furnished under a primary care exception	Use when the coaching service is furnished under the Medicare primary care exception for certain non‑physician practitioners, where applicable.
`FX`	No hospital outpatient clinic visit	Used when denying or adjusting clinic visit attribution in systems that require explicit clinic modifiers.
`FY`	Residual HCPCS modifier	Rare administrative use; not typically applied to `0593T`.

Taxonomy Code	Specialty	Notes
`103K00000X`	Family Medicine	Primary care physicians who refer or coordinate group coaching programs.
`207Q00000X`	Internal Medicine	Internal medicine clinicians involved in chronic disease programs incorporating group coaching.
`371J00000X`	Nurse Practitioner	NPs who provide or supervise health and well‑being coaching programs.
`363L00000X`	Health Education/Promotion	Health educators or wellness coaches delivering group coaching sessions.
`367A00000X`	Clinical Social Work	Social workers who facilitate behavioral goal setting and group support.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E66.9`	Obesity, unspecified	Obesity is a common target for behavior change interventions delivered in group health coaching for weight management.
`E11.9`	Type 2 diabetes mellitus without complications	Diabetes self‑management and lifestyle modification topics are frequently addressed in group coaching.
`F17.210`	Nicotine dependence, cigarettes, uncomplicated	Smoking cessation goals and strategies are commonly covered in group coaching sessions.
`F41.9`	Anxiety disorder, unspecified	Stress management and coping strategies provided in group coaching can support anxiety symptom management.
`Z71.89`	Other specified counseling	General counseling and health education topics provided in group coaching are captured by this counseling code.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99401`	Preventive medicine counseling and/or risk factor reduction intervention; approximately 15 minutes	Short individual counseling sessions that may precede referral to group coaching for more structured support.
`99402`	Preventive medicine counseling and/or risk factor reduction intervention; approximately 30 minutes	Individual preventive counseling comparable in time to a group coaching session; used when one‑on‑one counseling is provided instead of group.
`99406`	Smoking and tobacco use cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes	Brief tobacco counseling that may be reinforced within group coaching programs; often billed separately for individual counseling.
`99407`	Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes	Intensive individual tobacco cessation counseling that can complement group coaching content.
`G0513`	Transitional care management services with moderate or high complexity medical decision making	Care management services that may coordinate referrals into group health coaching as part of a transitional care plan.