Can I Bill Insurance as a Nurse Coach?
Insurance billing for Nurse Coaching is still limited, but progress is underway. Most Nurse Coaches use a private-pay model today.
Where insurance billing stands today
Currently, billing insurance for Nurse Coaching services is limited — but progress is being made, and INCA is helping lead the way.
A Category III CPT® code for health and wellness coaching has been approved by the AMA. Category III codes are mainly for tracking data and are not typically reimbursed yet — but they’re a key step toward a reimbursable Category I code.
- A Category III CPT® code for health and wellness coaching has been approved by the American Medical Association (AMA). Category III codes are used primarily to collect data on utilization and outcomes and are not typically reimbursed yet, but they are a critical step toward a Category I CPT® code, which would enable broader insurance reimbursement.
- INCA continues to advocate for recognition of Nurse Coaching, including lobbying for reimbursable codes.
What most Nurse Coaches do now
Most Nurse Coaches operate on a private-pay model. Clients often pay out of pocket and may submit receipts for possible reimbursement through an HSA, FSA, or in some cases private insurance. As the field evolves, INCA-trained Nurse Coaches will be among the first prepared to take advantage of new developments. Explore the INCCP to learn more.