CPT Code 96150: Health behavior assessment, first 30 min

When to Use CPT 96150

Use CPT code 96150 when billing for health behavior assessment, first 30 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 96150 to a Superbill

When generating a superbill with CPT 96150, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 96150:

Documentation Requirements

Must be linked to a medical (not mental health) diagnosis. Document the behavioral factors affecting the medical condition and assessment methodology.

Common Denial Reasons

• ✗ Primary diagnosis is a mental health code rather than a medical condition
• ✗ Service not clearly linked to a physical health diagnosis
• ✗ Missing documentation of behavioral factors impacting the medical condition

Reimbursement Expectations

OON reimbursement typically 45-65% of UCR. Expect $36-$98 for the first 30 minutes.