Table 1.
CPT | Description | Payment/Patient (Non-Facilities*) | Payment/Patient (Facilities*) |
---|---|---|---|
99492 | Initial psych care mgmt, 70 min/month – CoCM | $161.28 | $90.36 |
99493 | Subsequent psych care mgmt, 60 min/month – CoCM | $128.88 | $81.72 |
99494 | Initial/subsequent psych care mgmt, additional 30 min CoCM | $66.60 | $43.56 |
99484 | Care mgmt services, minimum 20 min – General Behavioral Health Integration (BHI) Services | $48.60 | $32.76 |
“Non-Facilities” refers to primary care settings, while “Facilities” refers to hospital or other facility settings.
Adapted from “AIMS Center - Advancing Integrated Mental Health Solutions. Cheat Sheet on Medicare Payments for Behavioral Health Integration Services. (2018). Available at: https://aims.uw.edu/sites/default/files/CMS_FinalRule_BHI_CheatSheet.pdf.” Adapted with permission from the University of Washington AIMS Center.