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96158 Hlth bhv ivntj indiv first 30

Medicine

Also known as: behavior counseling, lifestyle coaching, health behavior intervention

Health behavior intervention (counseling and intervention) for individuals, first 30 minutes.

In Plain Language

healthy behavior coaching

Clinical Context

Structured counseling and behavioral intervention to modify health risk behaviors and promote healthy lifestyle changes in individual patients.

RVU Breakdown

Work RVU1.66
Total RVU1.66

Est. Medicare Payment

$55.44

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.

How This Code Compares

With a work RVU of 1.66, this code ranks in the 72nd percentile among Medicine codes — 2.1x the median (0.78). The highest wRVU in this category is 23.92.

Specialties

Preventive MedicineBehavioral HealthPsychology

Frequently Asked Questions

What is CPT code 96158?

CPT 96158 (Hlth bhv ivntj indiv first 30) is a Medicine code. Health behavior intervention (counseling and intervention) for individuals, first 30 minutes.

Who uses CPT code 96158?

CPT 96158 is used by Preventive Medicine, Behavioral Health, Psychology. Structured counseling and behavioral intervention to modify health risk behaviors and promote healthy lifestyle changes in individual patients.

When is CPT 96158 used?

Structured counseling and behavioral intervention to modify health risk behaviors and promote healthy lifestyle changes in individual patients.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.