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In this paper, we focus on feedback interactions between instructional coaches and teachers. This study is embedded in a large, three-year project which aims to understand, refine, and improve coaching systems in Tennessee, ultimately leading to a scalable state-level mathematics coaching model that helps coaches support teachers’ use of high-level mathematics tasks, a practice that has been shown to improve student outcomes in mathematics (e.g. Stein & Lane, 1996). Here we focus on the evidence-based feedback coaches offer to teachers. We unpack the nature of quality professional feedback, and the interactions in which this is embedded, to develop a robust understanding of teacher learning, instructional coaching, and the function of feedback as a mechanism for leadership and school improvement.