Behavioral Assessment & Testing

96159 CPT

Health behavior intervention, individual; each additional 15 minutes (add-on)

System

CPT code

Timing

Time-based — 15-min units

Add-on

Yes — needs a primary code

CPT 96159 is the add-on to 96158, reporting each additional 15 minutes of individual health behavior intervention beyond the first 30 minutes.

When to use 96159

Add 96159 when an individual intervention (96158) extends past 30 minutes. It is never billed alone.

How to bill it

Report one unit per additional 15 minutes alongside 96158 on the same date.

Common pitfalls

  • Billing 96159 without the primary 96158.
  • Counting assessment (96156) time as intervention time.

Frequently asked questions

Is 96159 billable by itself?

No. It is an add-on and must accompany 96158 for individual intervention.

How is time counted?

Count only the face-to-face intervention time beyond the initial 30 minutes, in 15-minute increments.

Related Behavioral Assessment & Testing codes

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