S5190 Wellness assessment by nonph
Also known as: wellness screening, health assessment
Wellness assessment and screening services provided by non-physician healthcare worker including health status evaluation and health promotion counseling.
In Plain Language
Health check-up; Wellness evaluation
Clinical Context
Used for preventive health screening and wellness counseling by nurses or other non-physician clinicians identifying health risks and promotion opportunities.
RVU Information
CPT S5190 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S5190?
CPT S5190 (Wellness assessment by nonph) is a S Codes code. Wellness assessment and screening services provided by non-physician healthcare worker including health status evaluation and health promotion counseling.
Is S5190 covered by insurance?
S5190 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for preventive health screening and wellness counseling by nurses or other non-physician clinicians identifying health risks and promotion opportunities.
When is CPT S5190 used?
Used for preventive health screening and wellness counseling by nurses or other non-physician clinicians identifying health risks and promotion opportunities.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.