Billing Codes for Psychiatric Collaborative Care Management

1. Medical Billers and Coders Billing Codes for Psychiatric Collaborative Care Management

2. What is Collaborative Care Management (CoCM)?  Psychiatric Collaborative Care Management (CoCM) typically is provided by a primary care team consisting of a primary care physician and a care manager who work in collaboration with a psychiatric consultant, such as a psychiatrist. Care is directed by the primary care team and includes structured care management with regular assessments of clinical status using validated tools and modification of treatment as appropriate. The psychiatric consultant provides regular consultations to the primary care team to review the clinical status and care of patients and to make recommendations.

3. Billing Codes for Psychiatric Collaborative Care Management • CPT Code 99492 • CPT Code 99493 • CPT Code 99494 • Calculation of Time • CPT Code 99484

4. Billing Services in FQHC and RHC CMS has incorporated the payment for FQHCs and RHCs into two HCPCS codes. When billing for the general care management service: care management for behavioral health conditions – use G0511 and when billing for Collaborative care services use G0512. FQHCs and RHCs do not recognize the CPT time rule nor the add-on code for additional time. You must provide the full 70 (initial) or 60 (subsequent) minutes before billing for the service and sites are not paid for any additional time. It is important that you review the specific requirements associated with billing in these settings.  We shared billing codes for Psychiatric Collaborative Care Management but that’s not enough. There are a lot of other billing questions you might face while billing for Psychiatric Collaborative Care Management like Who bills for these services? Who can play the behavioral health care manager role? What are his qualifications? What are the qualifications for a psychiatric consultant? How do I get paid as a psychiatric consultant? Who can provide BHI services? And many others. 

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