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Health and well-being coaching is a comprehensive and holistic approach that emphasizes the importance of overall wellness, extending beyond mere physical health, diet, and exercise. This coaching method aims to foster a deeper understanding of an individual's complete well-being, addressing various aspects that contribute to a person's health. The initial assessment, represented by CPT® Code 0591T, involves a face-to-face session where the coach evaluates multiple factors affecting the individual's health. This includes a thorough review of the individual's current dietary habits and nutritional needs, an analysis of sleep patterns, and an exploration of personal health history alongside relevant family medical history. Additionally, the assessment may consider genetic factors that could influence the individual's health outcomes, as well as the status of personal relationships and current levels of stress and energy. By examining how these elements interconnect, the coaching process aims to provide insights into the individual's current state of health and wellness. The goal is to empower individuals to become the best version of themselves by implementing practical strategies to mitigate stress, enhance vitality, and promote a balanced lifestyle.
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The health and well-being coaching face-to-face initial assessment is indicated for individuals seeking to improve their overall health and wellness. This may include those experiencing stress, fatigue, or a desire to enhance their lifestyle through better nutrition, exercise, and mental well-being. The following conditions or situations may warrant this coaching session:
The procedure for the health and well-being coaching initial assessment involves several key steps that are designed to provide a comprehensive evaluation of the individual's health status. Each step is crucial for understanding the various factors that contribute to the individual's overall well-being.
After the initial assessment, the individual may be provided with personalized recommendations and strategies to enhance their health and well-being. Follow-up sessions are encouraged to monitor progress, reassess goals, and adjust strategies as needed. These subsequent sessions, which are billed under CPT® Code 0592T, typically last at least 30 minutes and focus on evaluating the individual's perception of their health in relation to their goals. The coach may also introduce practical techniques to improve specific areas such as sleep, vitality, exercise, and social interactions. Continuous support and guidance are essential for helping individuals avoid burnout and manage the physical symptoms of stress effectively.
| Short Descr | HLTH&WB COACHING INDIV 1ST | Medium Descr | HEALTH & WELL-BEING COACHING F2F INDIV 1ST ASSMT | Long Descr | Health and well-being coaching face-to-face; individual, initial assessment | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GA | Waiver of liability statement issued as required by payer policy, individual case |
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| 2020-01-01 | Added | Code added. |
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