Change 1

Updated for the CY 2027 Medicare Physician Fee Schedule Final Rule (CMS-1848-F), released Nov 4, 2026. Effective Jan 1, 2027. Last verified: November 5, 2026

Help center · Payment and coverage

Do patients pay a copay or coinsurance for coaching?

Answered by Angel Reyes, MCHES®Last verified: November 5, 2026

Short answer

The final rule doesn't address cost sharing for these codes, and nothing designates them as preventive services exempt from it. Don't tell patients coaching is free; confirm deductible and coinsurance treatment with your MAC.

The toolkit's consent form includes a cost-sharing notice for this reason.

Didn't find your answer? Browse the help center or contact us. Educational only; not legal, billing, coding or clinical advice. Your supervising practitioner's and organization's policies come first.