Summary & Overview
HCPCS Q9004: Department of Veterans Affairs Whole Health Partner Services
HCPCS Level II code Q9004 represents Department of Veterans Affairs whole health partner services, a designation for integrative, person-centered support provided through VA whole health programs. Nationally, this code matters as VA whole health models expand and interact with non-VA payers, affecting claims processing and recognition of partner-delivered supportive services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what Q9004 denotes, how it is used to classify VA whole health partner services, and the implications for billing workflows across major national payers. The publication highlights available benchmarks where present, summarizes relevant policy and coding guidance, and situates the code within clinical contexts emphasizing integrative and supportive health services.
This resource is intended to clarify the code's purpose, outline payer coverage considerations at a national level, and provide practitioners and administrators with the context needed to identify when Q9004 applies. Data not included in the input, such as associated taxonomies, common diagnoses, and related service lines, are noted as unavailable.
Billing Code Overview
HCPCS Level II code Q9004 denotes Department of Veterans Affairs whole health partner services. This code represents services focused on whole health partnerships coordinated through the Department of Veterans Affairs, emphasizing holistic, person-centered approaches to health and well-being.
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Service type: Whole health partner services (integrative and supportive health partnership activities)
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Typical site of service: Department of Veterans Affairs facilities and affiliated community sites where VA whole health partnership programs are delivered
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is a U.S. military veteran enrolled in Veterans Health Administration (VHA) services seeking whole health partner services to support wellness, goal-setting, and personalized health planning. The patient is often referred by primary care or mental health clinicians for assistance with lifestyle change, stress management, resilience training, or to develop a Whole Health Personal Health Plan. The appointment is typically a non-procedural, billed service delivered in an outpatient clinic, community-based outpatient clinic, or via telehealth by a trained Whole Health Partner, health coach, or clinician with whole health training. The workflow includes an intake assessment, collaborative discussion of personal values and health goals, identification of strengths and barriers, and creation of an individualized action plan. Documentation includes patient goals, identified priorities, interventions or referrals, time spent, and shared decision points. Encounters may be billed when services meet time and content thresholds defined by payer and VHA policy.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the whole health partner service required substantially greater work than typically required (e.g., complex psychosocial needs, extensive care coordination). |
23 |