Summary & Overview
CPT 2028F: Undefined Clinical Service
CPT code 2028F is a CPT billing entry with no descriptive summary available in the source input. As a nationally used CPT code, it represents a discrete clinical or administrative service recorded in provider claims, and clarity about its definition is important for consistent coding, claims processing, and policy interpretation across payers. This publication summarizes available metadata and identifies missing information that organizations commonly need when mapping codes to clinical workflows and reimbursement policies.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise presentation of what is known about the code, an explicit list of missing or unavailable fields, and context on why the code’s definition matters for billing accuracy and payer adjudication. The piece also outlines the types of benchmarks and policy updates that are typically relevant for CPT entries, and highlights the clinical and administrative areas where further documentation is required. Data not available in the input is clearly identified so payers, providers, and policy analysts can prioritize follow-up research or vendor inquiries.
Billing Code Overview
CPT code 2028F has no summary on record. Based on the available description, this code represents a specific clinical billing entry for which detailed narrative information is not provided in the input. Service type: Data not available in the input. Typical site of service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult or pediatric patient undergoing a brief, specific clinical assessment or service that is documented using code 2028F. The patient may present to an outpatient clinic, ambulatory surgical center, or hospital outpatient department for a targeted visit related to counseling, screening, or a discrete counseling/education intervention tied to a chronic disease management plan. The workflow includes intake and brief focused history, targeted education or counseling delivered by a qualified clinician (physician, nurse practitioner, physician assistant, or clinical nurse specialist), documentation of the counseling content, time or face-to-face interaction, and any immediate follow-up planning. The service is typically bundled with other evaluation and management activities when applicable and is delivered in the outpatient setting during a scheduled visit or as an add-on short counseling encounter related to disease prevention or self-management support.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service | Use when an E/M visit is above and beyond the usual preoperative or postoperative care and is distinct from the counseling or brief service represented by 2028F. |
| 59 | Distinct procedural service | Use when 2028F is a distinct service from another procedure performed on the same day and needs to be reported separately.
| 24 | Unrelated evaluation and management service by the same physician during a postoperative period | Use when the service represented by 2028F is unrelated to a prior surgical procedure and occurs during the postoperative global period.
| 52 | Reduced services | Use when the service represented by 2028F is partially reduced or not fully performed as originally described.
| 53 | Discontinued procedure | Use if the planned service represented by 2028F was started but discontinued due to extenuating circumstances.
| 76 | Repeat procedure or service by same physician or other qualified health care professional | Use when 2028F or an equivalent brief service is repeated by the same clinician later the same day.
| 77 | Repeat procedure or service by another physician or other qualified health care professional | Use when a different clinician repeats the brief service on the same day.
| 91 | Repeat clinical diagnostic laboratory test | Use when the brief counseling or assessment documented by 2028F is accompanied by a repeat laboratory test that influences the service.
| AI | Principal physician of record (Medicare-specific attribution) | Use for Medicare billing when reporting services attributable to the principal physician of record during inpatient care related to the brief service.
| XU | Unusual non-overlapping service (X modifier, subset of 59) | Use when 2028F represents a separate encounter with documentation evidencing distinct circumstances not overlapping with other billed services.
| Taxonomy Code | Specialty | Notes |
|---|---|---|
207Q00000X | Family Medicine | Family physicians commonly provide brief counseling and targeted education in outpatient settings. |
| 207R00000X | Internal Medicine | Internists deliver disease management counseling and short focused interventions relevant to 2028F.
| 363L00000X | Nurse Practitioner | NPs frequently perform brief assessment and counseling services in ambulatory care.
| 244Y00000X | Physician Assistant | PAs provide focused education and counseling services under physician supervision or collaboration.
| 363A00000X | Clinical Nurse Specialist | Clinical nurse specialists may deliver targeted education and disease-management counseling in specialized clinics.
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
| Data not available in the input. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
99213 | Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes | Commonly performed as the primary E/M visit during which the brief counseling or targeted service represented by 2028F may be delivered or documented. |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual; approximately 15 minutes | Performed when a more detailed preventive counseling session accompanies the brief service represented by 2028F.
| 99406 | Smoking and tobacco use cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes | Often billed alongside brief counseling services for tobacco cessation when time-limited interventions are provided.
| 82803 | Fecal occult blood, qualitative, immunoassay (e.g., FIT), per single specimen | Example of a screening test that may be ordered as a follow-up to counseling or screening advice documented with 2028F.
| 99080 | Special reports and forms; completion by physician or other qualified health care professional | Used when additional documentation or forms are required in conjunction with the counseling or brief intervention coded as 2028F.