Table 3.
Code | Use | Behavioral health care manager/clinical staff time | Assumed billing practitioner time |
---|---|---|---|
99492 | First CoCM month | 70 min per month | 30 min |
99493 | Subsequent CoCM months | 60 min per month | 26 min |
99494 | Add-on CoCM any month for extra time | Each additional 30 min per month | 13 min |
G2214 | Initial or subsequent collaborative care | 30 min per month | Usual work for the visit code |
99484 | General behavioral health integration | 20+ min per month | 15 min |
G0511 | General care management services for FQHC practices | 20+ min per month | Usual work for the visit code |
G0512 | Psychiatric CoCM for FQHC practices | Minimum 70 min initial month and 60 min subsequent months | Usual work for the visit code |
Care Team, treating (billing); PCP, Behavioral Health Care Manager; Psychiatric Consultant, Beneficiary (patient).
From the AIMS Center. Billing and Financing Behavioral Health Integration and Collaborative Care Available online at: https://aims.uw.edu/resources/billing-financing and from the Centers for Medicaid and Medicare Services MLN 909432 Available online at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/BehavioralHealthIntegration.pdf