CPT® Code 98962

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; 5-8 patients

The CPT® Code 98962 refers to a specific type of educational service provided by a nonphysician qualified health care professional. This service involves face-to-face education and training aimed at empowering patients to manage their own health conditions effectively. The training is conducted using a standardized curriculum, which ensures that the information provided is consistent and reliable. During these sessions, the primary focus is on individual patients, but the presence of family members or caregivers is also encouraged, as their involvement can enhance the learning experience and support the patient’s self-management efforts. The educational sessions are structured to accommodate groups of patients, specifically those with 5 to 8 individuals participating simultaneously. Each session is billed in 30-minute increments, allowing for flexibility in scheduling and ensuring that adequate time is allocated for comprehensive instruction. This code is particularly relevant for health care professionals who are engaged in teaching patients about managing diseases, injuries, or other health-related issues, thereby promoting better health outcomes through informed self-care practices.