CPT Code 96155: Health behavior intervention, family without patient, first 30 min

When to Use CPT 96155

Use CPT code 96155 when billing for health behavior intervention, family without patient, first 30 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 96155 to a Superbill

When generating a superbill with CPT 96155, 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 96155:

Documentation Requirements

Document clinical rationale for patient absence and how the family session supports behavioral management of the patient medical condition.

Common Denial Reasons

• ✗ Patient was present — should use 96154 instead
• ✗ Not linked to a medical diagnosis
• ✗ Missing rationale for patient absence in the family session

Reimbursement Expectations

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