EasyMindCare

Behavioral Assessment & Testing

96168 CPT

Health behavior intervention, family without patient; each additional 15 minutes (add-on)

System

CPT code

Timing

Time-based — 15-min units

Add-on

Yes — needs a primary code

CPT 96168 is the add-on to 96167, reporting each additional 15 minutes of family (without patient) health behavior intervention beyond the first 30 minutes.

When to use 96168

Add 96168 when the family intervention (96167) extends past 30 minutes. It requires the primary 96167 code.

How to bill it

Report one unit per additional 15 minutes alongside 96167.

Common pitfalls

  • Billing 96168 without 96167.
  • Counting time when the patient is present.

Frequently asked questions

Is 96168 an add-on?

Yes. It must accompany 96167 and cannot be billed alone.

Does the patient attend a 96168 session?

No. 96167/96168 are delivered without the patient present; for family work with the patient, use the family therapy codes instead.

Related Behavioral Assessment & Testing codes

96156 CPT

Health behavior assessment or reassessment

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96127 CPT

Brief emotional/behavioral assessment, per standardized instrument

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96146 CPT

Psychological/neuropsychological test administration, single automated instrument

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96110 CPT

Developmental screening, per standardized instrument

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96158 CPT

Health behavior intervention, individual; initial 30 minutes

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96164 CPT

Health behavior intervention, group (two or more); initial 30 minutes

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96159 CPT

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

View code

96165 CPT

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

View code

Pair this code with a billing tool

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GFE Generator

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OON Reimbursement Estimator

Help clients estimate their insurance reimbursement for out-of-network sessions based on coinsurance, deductible, and session fee.

ICD-10 Code Lookup

Search ICD-10-CM mental and behavioral health diagnosis codes by number or plain-language term like depression, PTSD, ADHD, or anxiety to see the description, billable status, and a clinical note.

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