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96165 Hlth bhv ivntj group each additional

Medicine +Add-on

Also known as: group coaching extension, additional group intervention

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

In Plain Language

additional group health education

Clinical Context

Extended group health behavior intervention when additional time is required for comprehensive group counseling.

RVU Breakdown

Work RVU0.11
Total RVU0.11

Est. Medicare Payment

$3.67

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 0.11, this code ranks in the 4th percentile among Medicine codes — 7.1x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

Preventive MedicineBehavioral HealthPublic Health

Frequently Asked Questions

What is CPT code 96165?

CPT 96165 (Hlth bhv ivntj group each additional) is a Medicine code. Health behavior intervention (counseling and intervention) for groups, each additional 15-minute increment.

Who uses CPT code 96165?

CPT 96165 is used by Preventive Medicine, Behavioral Health, Public Health. Extended group health behavior intervention when additional time is required for comprehensive group counseling.

When is CPT 96165 used?

Extended group health behavior intervention when additional time is required for comprehensive group counseling.

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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.