0592T: Health Coaching Follow-Up CPT Code (2027 Medicare)

Short answer

0592T is the Category III CPT code for an individual, face-to-face health and well-being coaching follow-up session of at least 30 minutes. It is nationally priced from January 1, 2027, furnished by a qualified coach under general supervision, and billed only by the supervising practitioner. CMS lists it with an add-on ("ZZZ") indicator, and how contractors will process a follow-up billed without 0591T is still unresolved.

0592T at a glance

Service	Health and well-being coaching, face-to-face, individual, follow-up session, at least 30 minutes (CMS Table A-D9 wording)
Payment status (CY 2027)	Status A: nationally priced, separately paid. Previously contractor priced.
Final work RVU	1.00 (proposed 0.70), crosswalked to CPT 99489
Global indicator	ZZZ in Addendum B, the PFS indicator for an add-on code (see below)
Estimated national payment	About $74.07 non-facility / $42.09 facility¹, paid to the billing practitioner
Who furnishes / who bills	Qualified auxiliary personnel under general supervision / only the supervising practitioner
Telehealth	On the Medicare Telehealth Services List (CY 2027 action: "Maintain")
Frequency limit	None set, as long as services are reasonable and necessary (rule pp. 384–385)

¹ Estimates from Addendum B total RVUs (2.27 non-facility, 1.29 facility) × the rule's estimated conversion factor of 32.6286. Not CMS-published; actual payment varies by locality and setting.

The open question: 0592T's add-on indicator

Addendum B gives 0592T a global indicator of "ZZZ", the PFS code for an add-on service reported with a primary service. That mirrors its crosswalk code, 99489, which is an add-on to 99487. The rule text does not explain the indicator or say how a follow-up session billed on a day without 0591T will be processed.

Until your Medicare Administrative Contractor publishes guidance, treat this as unresolved. Ask your billing team how they plan to report standalone follow-ups, and watch the Sources & updates page for changes.

Documenting a follow-up session

The rule's coaching section lists no coaching-specific documentation elements. This workflow follows general incident-to and time-based documentation practice; your supervising practitioner's and organization's policies come first.

Time: record actual start and stop times. The descriptor requires at least 30 minutes.
Subjective: what the patient reports about progress on each SMART goal since the last session, and new barriers.
Objective: modality, measures the patient tracked, and attendance.
Assessment: progress relative to the practitioner's plan of care, within coaching scope.
Plan: adjusted goals, the next session, and any new clinical issue referred back to the practitioner. The coach does not triage.
Sign-off: coach name, credential and signature; supervising practitioner named.

Fictional example (annotated)

Note type: Health coaching follow-up · Modality: in person · Time: [actual start]–[actual stop]

S: Walked after breakfast 3 of 4 planned days. Missed day after a double shift. Reports knee soreness on stairs.

O: Patient's step log reviewed.

A: Steady progress toward the walking goal. Knee soreness is a new symptom, outside coaching scope.

P: Keep 4 days/week; plan a shorter walk on double-shift days. Knee soreness referred to Dr. [name] per protocol. Next session in 2 weeks.

Notice the referral: a new symptom goes back to the practitioner rather than being assessed by the coach. Bracketed fields are placeholders; never pre-fill time or outcomes.

Same-day code pairs to check

CPT parenthetical guidance indicates 0592T should not be reported with 96156, 96158, 96159, 98960, 0488T or 0591T. Verify these against the current AMA CPT® code set and your MAC's edits before relying on them.

Verification checklist before billing

National pricing with status A means 0592T is payable under the fee schedule. It does not promise payment for any particular claim. Before the first claim, the practice should confirm:

The supervising practitioner's order or plan of care supports continued coaching, and the note links to it.
The coach's credential file is current, including evidence of coaching-specific training.
Actual session time meets the 30-minute descriptor and is recorded.
How your MAC will process 0592T given its ZZZ indicator, especially for follow-ups billed without 0591T.
Same-day code pairs and National Correct Coding Initiative (NCCI) edits.
Telehealth modality, place-of-service and modifier requirements, if the session was remote.
Beneficiary cost-sharing treatment. The rule does not address it, so confirm with your MAC.

0592T vs 0591T vs 0593T

Code	Use it for	Final work RVU
0591T	Individual initial assessment	1.81
0592T	Individual follow-up session, at least 30 minutes	1.00
0593T	Group of 2 or more, at least 30 minutes, billed per beneficiary	0.23

Frequently asked questions

What does CPT 0592T cover?

An individual, face-to-face health and well-being coaching follow-up session of at least 30 minutes.

When can a coach use 0592T?

For individual sessions after the initial assessment, when the practitioner's plan of care supports continued coaching. Because of the ZZZ indicator, confirm with your billing team and MAC how standalone follow-ups will be reported.

Is there a limit on how many 0592T sessions Medicare covers?

CMS did not finalize frequency limits, as long as services are reasonable and necessary. It said it will monitor utilization and may revisit this in future rulemaking.

How much does Medicare pay for 0592T?

About $74.07 national non-facility (estimate from Addendum B RVUs; not a CMS-published figure), paid to the billing practitioner and subject to locality, setting and coverage.

Sources: CMS-1848-F public-inspection display copy (pp. 374–387, 436, 2059–2060); CY 2027 Addendum B (updated Nov 5, 2026); CY 2027 Medicare Telehealth Services List. Page numbers are display-copy pages until the Federal Register version is published. CPT® is a registered trademark of the American Medical Association; descriptors are paraphrased.