What Are the 4 New CPT Codes for Collaborative Care a Medical Billing Company Must Know?

What Are the 4 New CPT Codes for Collaborative Care a Medical Billing Company Must Know?

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Collaborative care is essential for ensuring the overall well-being of the patient.

Behavioral Health Integration Services have to be coupled with primary health care to deliver excellent patient care. Medical coding services are essential to ensure claim submission for seamless management of the revenue cycle.

CPT codes to bill for Psychiatric Collaborative Care Services (CoCM) 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 directed by the treating physician or other qualified health care professional.

99493: Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent 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.

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 directed by the treating physician or other qualified health care professional. The billing of these codes is based on the amount of time the behavioral health care manager spends doing clinical work (face-to-face and non face-to-face) with the patient.

99484: Monthly services other than CoCM. Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care professional. Outsourcing medical coding tasks can considerably reduce practices’ overhead costs and help channelize resources towards patient care activities.

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