1.9.2023 Board Book

Please Note: Codes are considered appropriate for modifier 51 exempt status when they are valued with the presumption that they are typically performed with another procedure(s). However, they are not designated add-on codes because they may be performed as stand-alone codes or because the list of potential procedures to which they are adjunctive is too extensive to be maintained. This means that the code in question is to be valued with a reduction in work and practice expense commensurate to the overlap with the other procedure(s) or services with which they may be performed. As these procedures are usually performed with other procedures, there should be a minimal amount of pre- and post-service time relative to the procedure's intra-service time. Modifier 51 exempt procedures are not subject to any CMS multiple procedure reduction. ● 99591 N/A IV. 11 Practice Expense Who typically provides this service? (Check all that apply) Other qualified health care professional (QHP) 2. NBHWC-approved programs have trained 10,000+ eligible for NBHWC certification 3. NCHEC - as of 12/31/22 there are 18,500 Certified Health Education Specialists 4. Total - 37,000 qualified coaching providers IV. 12 Site of Service What is the typical site of service for each proposed NEW code(s)? (check all that apply) ● 99591 Hospital outpatient Office List applicable code(s) 99591, 99592, 99593 Qualified coaching providers: 1. NBHWC-certified – 8,500 coaches as of 12/31/22

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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.