What changed between the proposed and final rule?

Short answer

CMS switched from direct to general supervision, raised the work RVUs for 0591T (1.00 to 1.81) and 0592T (0.70 to 1.00), kept 0593T at 0.23, and kept the Category III codes instead of creating G-codes.

The full side-by-side table, with rule page numbers, is in Medicare health coaching 2027: what the final rule changed. A common mistake is treating proposal language, such as direct supervision or the "60–90 minutes" wording for 0591T, as final policy.

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