1.9.2023 Board Book

There is a substantial body of quality evidence for the utilization of health and wellness coaching services to treat chronic diseases related to health behaviors in clinical settings. Particularly strong evidence for coaching services has been established for diabetes, obesity, hypertension, and heart disease, in addition to moderate evidence for various other disorders. D. Why now? Outside the VHA, entry-level Level III CPTs are not adequate as many large healthcare systems wish to invest in adding the role of coaches and establish coaching services as part of routine healthcare delivery teams and models. They are naturally conservative and reluctant to integrate a new and ongoing professional role into team-based care that rests on Category III codes. As more healthcare systems bring coaches into team-based care, they need reliable and wide reimbursement for this essential care. Category I approval will ground and accelerate discussions with payers and cost-effective hiring of coaching roles that can impact lifestyle and behavior risk factor modification and more importantly, allow patients to improve health and live a higher quality of life. Integrating the role of the coach also allows clinicians to work at the top of their licenses and distribute the patient workload more effectively to reduce burnout and address clinician shortages. III. 2 Proposed Code Changes Please specify the proposed additions, modifications, and/or deletions to CPT Content for this Code Change Application. Begin by identifying where in the CPT Code Set your suggested changes need to be made. • Using the “Search” feature below, you can locate any existing content in the CPT Professional book (including codes, guidelines, key words, etc.). Simply type a code, key word, or sentence in the search bar to find the existing content. • If you aren’t sure where to place your proposed change(s), the “Table of Contents” allows you to drill into the code set by expanding sections and subsections in the CPT Professional book to locate CPT codes and guidelines.

Use both the search and drill down tools to verify that there are no codes to use for a particular procedure prior to proposing a code change. There may be codes located in a

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Code Change Application-last updated Dec 29,2022 CPT is a registered trademark of the American Medical Association Copyright 2013-2021 American Medical Association. All rights reserved.