CPT® Code 98961

Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients

The CPT® Code 98961 refers to a specific type of educational service provided by a nonphysician qualified health care professional. This service focuses on patient self-management, which is essential for individuals dealing with chronic diseases, injuries, or other health-related issues. The education and training are delivered face-to-face, allowing for direct interaction between the health care professional and the patients, which can enhance understanding and retention of the information provided. The sessions may also include family members or caregivers, recognizing the important role they play in supporting the patient’s health management. The content of the education is based on a standardized curriculum, ensuring that the information is consistent and reliable, although it can be tailored slightly to meet the specific needs of the patients present. This code is applicable when the session involves 2 to 4 patients simultaneously, allowing for a group learning environment that can foster discussion and shared experiences among participants. Each session is billed in 30-minute increments, reflecting the time spent in direct education and training activities.