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96159 Hlth bhv ivntj indiv each additional

Medicine +Add-on

Also known as: behavior counseling extension, additional coaching

Health behavior intervention (counseling and intervention) for individuals, each additional 15-minute increment.

In Plain Language

additional healthy behavior coaching

Clinical Context

Extended health behavior intervention when additional time is required for comprehensive counseling and behavior change strategies.

RVU Breakdown

Work RVU0.57
Total RVU0.57

Est. Medicare Payment

$19.04

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 0.57, this code ranks in the 38th percentile among Medicine codes — 1.4x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

Preventive MedicineBehavioral HealthPsychology

Frequently Asked Questions

What is CPT code 96159?

CPT 96159 (Hlth bhv ivntj indiv each additional) is a Medicine code. Health behavior intervention (counseling and intervention) for individuals, each additional 15-minute increment.

Who uses CPT code 96159?

CPT 96159 is used by Preventive Medicine, Behavioral Health, Psychology. Extended health behavior intervention when additional time is required for comprehensive counseling and behavior change strategies.

When is CPT 96159 used?

Extended health behavior intervention when additional time is required for comprehensive counseling and behavior change strategies.

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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.