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When your behavioral health patients need extra attention and even psychiatric services, the care coordination activities between primary and behavioral healthcare professionals qualify for reimbursement.
The complexity, variety and frequency of behavioral health treatments place high demands on primary care practices and often require primary care physicians to refer to or interact with psychiatric specialists.
And as the medical community continues to advance its understanding of the tight connection between a patient’s mental and physical health, CMS is encouraging the integration of behavioral health with primary care through the BHI and CoCM codes that support collaboration and coordination among each discipline.
The result? Patients get access to the care they need to stay on track while you get reimbursed properly for the time you take to coordinate behavioral health services and medications.
"Gaining insights and guidance from primary care physicians can sometimes be challenging. When our primary care partners are using ChronicCareIQ, it's much easier for us to stay connected and informed while also making sure each care team member is reimbursed properly."
Psychiatrist, Independent Behavioral Health Practice
CPT code 99484
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional time, per calendar month, with the following required elements:
CPT code 99492
Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and that the treating physician or other qualified health care professional directs, with the following required elements:
CPT code 99493
Follow up psychiatric collaborative care management, first 60 minutes in a following month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements:
CPT code 99494
Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and that the treating physician or other qualified health care professional directs
HCPCS code G2214
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional:
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