CPT 96165 is the add-on to 96164, reporting each additional 15 minutes of group health behavior intervention beyond the first 30 minutes.
When to use 96165
Add 96165 when a group intervention (96164) extends past 30 minutes. It requires the primary 96164 code.
How to bill it
Report one unit per additional 15 minutes alongside 96164.
Common pitfalls
- Using 96165 without 96164.
- Mixing individual and group intervention time.
Frequently asked questions
When is 96165 appropriate?
Use 96165 for each additional 15 minutes of group health behavior intervention beyond the initial 30 minutes reported by 96164.
Can 96165 apply to individual sessions?
No. For individual intervention time beyond 30 minutes, use 96159 instead.