1.9.2023 Board Book

Category III codes for coaching services (qualified coaching providers - NBHWC certified) or not using Category III codes (not yet qualified coaching providers). There are early reports of reimbursement of the Category III coaching codes: 1. Appendix A - 24 visits reported as 0591T (2) or 0592T (22) were billed. 2. Independence Blue Cross covering the Category III coaching codes for employees of Penn Medicine 3. Cigna covering the Category III coaching codes for behavioral health coaching. See policy document: 4. https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/ad_a015_admini strativepolicy_behavioral_health_coaching_and_peer_support_services.pdf 5. Medicare contractor for Ohio/Kentucky??

V. 3 Providing Physician Frequency Information Do many physicians and/or other qualified health care professionals provide the service(s) or procedure(s) described by the proposed NEW code(s)? Yes Please provide the source(s) for all volume, frequency and distribution statements (e.g., published epidemiology, registries, sales statistics)

We summarized the number of locations and number of coaches in Table 2:

1. Number of locations = 250+ 2. Number of coaches = 500+

V. 4 Service Delivery

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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.