What does CPT code 99411 mean?

Answered by Jarrod Smith

CPT code 99411 refers to a specific medical procedure or service that involves providing preventive medicine counseling and/or risk factor reduction intervention(s) to individuals in a group setting. This code is used to bill for the time and effort spent by healthcare professionals in delivering educational and counseling services to a group of individuals.

The purpose of this service is to address and reduce risk factors that could lead to future health problems or complications. By providing counseling and intervention in a group setting, healthcare professionals can effectively reach and educate a larger number of individuals at once, maximizing the impact of their efforts.

The services provided under CPT code 99411 may include various aspects of preventive medicine, such as discussing healthy lifestyle choices, encouraging regular exercise, promoting a balanced diet, and addressing specific risk factors based on the group’s demographics or medical history. The goal is to empower individuals with the knowledge and tools they need to make positive changes in their lives and reduce their risk of developing certain health conditions.

Group settings for this type of counseling and intervention can vary widely. It could be conducted in a classroom, community center, workplace, or any other suitable location where a group of individuals can gather. The healthcare professional leading the session will typically guide the group through various topics and activities, encouraging participation and interaction among participants.

It is important to note that CPT code 99411 specifically applies to services provided in a group setting. If similar counseling and intervention services are provided on an individual basis, a different CPT code should be used to bill for those services.

In my personal experience, I have seen the value and effectiveness of group counseling and intervention sessions. It provides an opportunity for individuals to learn from each other, share their experiences, and support one another in making positive changes. Group settings can also create a sense of accountability and motivation, as individuals see others working towards similar goals.

CPT code 99411 allows healthcare professionals to deliver preventive medicine counseling and risk reduction interventions to a group of individuals, promoting healthier lifestyles and reducing the risk of future health problems. By reaching a larger audience through group sessions, healthcare professionals can have a greater impact on improving the overall health and well-being of their patients.