CPT® Code 96165

Add-On Code

Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

The CPT® Code 96165 refers to health behavior intervention services conducted in a group setting, specifically for two or more patients, and is billed for each additional 15 minutes of face-to-face interaction. These interventions are designed to enhance health outcomes, improve functionality, and address treatment-related challenges through various techniques. The services may encompass cognitive, behavioral, social, and psychophysiological strategies aimed at fostering better health management and overall well-being. Health behavior interventions are tailored to the unique needs of the participants, based on a comprehensive assessment that is separately reportable. Qualified healthcare professionals, including physicians, psychologists, advanced practice nurses, and clinical social workers, deliver these interventions, utilizing methods such as education on biopsychosocial factors, stress reduction techniques, social support engagement, and skill development. The focus is on encouraging active participation from patients to effectively manage their conditions and improve their quality of life.