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. Author manuscript; available in PMC: 2018 Sep 1.
Published in final edited form as: Curr Treat Options Psychiatry. 2018 Jul 6;5(3):334–344. doi: 10.1007/s40501-018-0150-4

Table 1.

Medicare CPT Payment Summary – 201842

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.