CPT Code 96152: Health behavior intervention, individual, first 30 min

When to Use CPT 96152

Use CPT code 96152 when billing for health behavior intervention, individual, first 30 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 96152 to a Superbill

When generating a superbill with CPT 96152, 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 96152:

Documentation Requirements

Document the specific behavioral intervention targeting the medical condition. Include patient education, skills training, or behavior modification techniques used.

Common Denial Reasons

• ✗ Intervention not linked to a medical (non-mental-health) diagnosis
• ✗ Service resembles psychotherapy rather than health behavior intervention
• ✗ Missing documentation of targeted behavioral change

Reimbursement Expectations

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