CPT® Code 96159

Add-On Code

Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Health behavior intervention services encompass a range of techniques aimed at enhancing an individual's health, functionality, and treatment outcomes. These interventions are tailored to address specific health-related challenges faced by the patient. The services may involve cognitive, behavioral, social, psychophysiological, or other methodologies designed to mitigate the frequency and severity of disease-related issues, reduce psychological barriers to effective condition management, and ultimately promote overall well-being. Qualified health care professionals, including physicians, psychologists, advanced practice nurses, and clinical social workers, who possess specialized training in health and behavior interventions, are authorized to deliver these services. Each intervention is customized based on a comprehensive assessment of the individual patient, ensuring that the techniques employed are relevant and effective. Common strategies utilized in these interventions may include education on biopsychosocial factors that impact health, stress reduction methods such as relaxation techniques and guided imagery, fostering social support through group discussions, enhancing social skills, and training patients in new management and coping strategies. The focus of these services is on encouraging active participation from the patient in interventions that specifically target the challenges associated with their health condition. For billing purposes, CPT® Code 96158 is used to report the first 30 minutes of individual, face-to-face intervention services, while CPT® Code 96159 is designated for each additional 15 minutes of service provided.