Back to Code Information Page
Show these sections:
    (Uncheck the box to hide and not print the section.  This area will not be printed either.)

   








:
:








CPT® Code Set - 96152
  Code Information  
96152 - CPT® Code in category:  Health and behavior intervention, each 15 minutes, face-to-face

CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.  CPT code information is copyright by the AMA.

Access to this feature is available in the following products:
  • Find-A-Code Essentials
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Additional Code Information (Global Days, MUEs, etc.)  

Additional Code Information includes:

  • APC Status Indicator
  • Assistant Surgeon (80, 82)
  • Bilateral Surgery (50)
  • CCS Clinical Classification
  • Co-Surgeons (62)
  • Diagnostic Imaging Family
  • Facility MUEs
  • Global Days
  • Hierarchical Condition Categories (HCC)
  • Major Complications or Comorbidities (MCC/CC)
 
  • Medicare Status Code
  • Multiple Procedures (51)
  • Non-Facility MUEs
  • OTS Orthotic
  • PC/TC Indicator (26)
  • Physician Supervisions
  • Team Surgery (66)
  • Type Of Service (TOS)
  • and more...
Access to this feature is available in the following products:
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Top Modifiers - Most Often Billed  

Save time with a Professional or Facility subscription!  You will be able to see the most common modifiers billed to Medicare along with this code.

  CPT Reverse Index Lookup  

Reverse Index Lookup is available with all FindACode.com trials and subscriptions, and results will match those displayed in Click-A-Dex™.

Access to this feature is available in the following products:
  • Find-A-Code Essentials
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Code History  

View historical information about the code including when it was added, changed, deleted, etc.

Access to this feature is available in the following products:
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  My Notes  

Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account.

Access to this feature is available in the following products:
  • Find-A-Code Essentials
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Articles & Newsletters  
  CPT® Assistant Articles   (3)  
Access to this feature is available in the following products:
  • CPT® Assistant Archives

The following CPT® Assistant Articles refer to this code (96152):

2017

2014

2002

  AHA Coding Clinic® Articles   (1)  

AHA Coding Clinic® for HCPCS

The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA Coding Clinic® - HCPCS

The following AHA Coding Clinic® for HCPCS Articles refer to this code (96152):

2002

  DecisionHealth® Articles   (47)  

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth® Newsletters

The following DecisionHealth® Articles are linked to this code (96152):

2019

2011

2010

2009

2008

2007

2006

2005

2004

2019

2011

2010

2009

2008

2007

2006

2005

2003

2010

2009

2008

2005


  JustCoding® Newsletter Articles   (2)  

The JustCoding® Newsletter is a fantastic resource for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp and help you stay abreast of CMS changes.

Access to this feature is available in the following products:
  • JustCoding Newsletter (by HCPro)

The following JustCoding® Articles refer to this code (96152):

February 12th, 2019

Four key CPT updates to improve your coding efforts in 2019

Review advice from experts on accurate documentation and CPT coding for chronic care management, knee injection services, and health and behavior assessments.

January 29th, 2019

Select the most specific ICD-10-CM and CPT codes for weight-related services

The beginning of a new year typically brings new resolutions to deal with weight-related issues. Shelley C. Safian, PhD, RHIA, HCISPP, writes about ICD-10-CM coding for common weight-related diagnoses such as obesity and anorexia, and CPT coding for interventions used to treat them. 


  TCI Newsletter Articles   (1)  
Access to this feature is available in the following products:
  • TCI ED Coding & Reimbursement Alert
  • TCI General Surgery Coding Alert
  • TCI Part B Insider
  • TCI E/M Coding Alert
  • TCI Outpatient Facility Coding Alert
  • TCI Medicare Compliance & Reimbursement

The following TCI Newsletter Articles are linked to this code (96152):

  Part B Insider   (1)  
Access to this feature is available in the following products:
  • TCI Part B Insider

2011


  Coding Tips  

Documentation, coding, and billing tips.

Access to this feature is available in the following products:
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Web-A-Code - Useful Web Links  
  Medline Plus   from the National Institutes of Health  
  Medical Laboratory Tests  
Demo
Video

96152 is not currently associated with any medical lab test(s).


  Fees  
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
  Facility   (Hospital, etc.)  
  Non-Facility   (Office, etc.)  
  APC Fee Information  

This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more.

Access to this feature is available in the following products:
  • Find-A-Code Facility Base

  Fee Schedules  

View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool.

If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.

  • Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties
  • See fees for ALL localities (all ZIP codes) as well as National fees
  • Load UNLIMITED Fee Schedules with your fees or fees from your payers
  • Create customized Fee Comparison Reports
  • Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter

Click here to learn more.

Access to this feature is available in the following products:
  • Unlimited Fee Reports™

  UCR Fees   (UCR, WC, Medicare)  

View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below.

Access to this feature is available in the following products:
  • Unlimited Fee Reports™
  • Specialty Fee Reports™
  • UCR Fees

View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts.

Access to this feature is available in the following products:
  • Find-A-Code Professional
  • Find-A-Code Facility Base
  • Unlimited Fee Reports™
  • Specialty Fee Reports™
  • UCR Fees

  RVUs - Relative Value Units  
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
  Facility 0.55  (Hospital, etc.)  
  Non-Facility 0.59  (Office, etc.)  
  Cross-A-Code™   (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®)  

View relationships (or crosswalks) between code sets.

Access to this feature is available in the following products:
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  ABC Codes  
Access to this feature is available in the following products:
  • ABC Code Mappings
  • SuperBill Builder

There is no code relationship information to display.
  APCs & OPPS  

This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more.

Access to this feature is available in the following products:
  • Find-A-Code Facility Base

  NCCI Edits  

NCCI Edit codes for comprehensive, component and mutually exclusive codes.

Access to this feature is available in the following products:
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Medicare Policies & Guidelines (NCDs, LCDs, Articles)  

Subscribers may see Information and Crosswalks here for Local Coverage Determinations (LCDs) with information on covered diagnosis and procedure codes.

Access to this feature is available in the following products:
  • Find-A-Code Essentials
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base

  Commercial Payer Policies  
Commercial Payer Policies
  • Featuring payer policies from over 85 commercial payers
  • Instantly search through over 34,000 payer policies for codes or keywords
  • Code information pages show all relevant policies for the code
  • Save and annotate policies
  • Instant access to the last 30 policies you viewed
Access to this feature is available in the following products:
  • Commercial Payer Policies

SAMPLE PAGE:  The search results shown below are for "00100" and "Amerigroup"

  Selected Payers:   Amerigroup  
  Applicable Policies  


  Bookmarks:  
  MIPS Quality Measures (formerly PQRS)  

The Merit-based Incentive Payment System (MIPS) is part of the Quality Payment Program (QPP) that was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  It replaced the Physician Quality Reporting System (PQRS) beginning in the performance year 2017.  Quality, which is one category of MIPS, can be reported if an eligible CPT or ICD-10 code is reported for an encounter.  Learn more about MIPS at qpp.cms.gov or purchase easy-to-follow training at https://instacode.com/mips-training-made-simple-0.

This code (96152) could have been used (in 2016) with the following measures:

#Measure TitleReporting Options
128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan Claim, Registry, Group, EHR, GPRO I
130Documentation of Current Medications in the Medical Record Claim, Registry, Group, EHR, GPRO I
181Elder Maltreatment Screen and Follow-Up Plan Claim, Registry
226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Claim, Registry, Group, EHR, GPRO I
402Tobacco Use and Help with Quitting Among Adolescents Registry, Group
431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling Registry, Group