Psychiatric Collaborative Care Services (COCM) CPT codes 99492,99493 & 99494
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 directed by the
treating physician or other qualified health care professional, with the following required elements:
Outreach to and engagement in treatment of a patient-directed by the treating physician or other qualified health care professional
Initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan
Review by the psychiatric consultant with modifications of the plan if recommended
Entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant
Provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies
CPT code 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, with the following required elements:
Tracking patient follow-up and progress using the registry, with appropriate documentation
Participation in weekly caseload consultation with the psychiatric consultant
Ongoing collaboration with and coordination of the patient’s mental health care with the treating physician or other qualified health care professional and any other treating mental health providers
Additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant
Provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies
Monitoring of patient outcomes using validated rating scales; and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment
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 directed by the treating physician or other qualified health care professional (List separately in addition to code for primary procedure)
Reference: CMS Behavioral Health Integration Fact Sheet
How to Use: Billing CoCM in ChronicCareIQ
BHI CoCM refers to the BHI Psychiatry Collaborative Co-management codes that are available for patients that meet the monthly outreach, engagement, time requirements, and assessments outlined by CMS.
CoCM review action needs to be manually marked each month this service is performed. This field will reset on a monthly basis as these codes are required to be completed each month.
In order to bill for CoCM services within the application, a patient must be assigned to a BHI designated protocol. Additionally, clinical end-users must assign CoCM billing within the patient chart billing type manager section as this service requires review every month.
BHI and RPM Co-Billing
The ability to bill both Behavioral Health Integration Services (BHI) and RPM has been added as a billing option for practices that utilize BHI codes. To enable BHI billing, the protocol must be changed to have the category “Behavioral Health”. This BHI protocol also must have at least one physiologic data question for RPM triggering:
Ensure protocol category is set to “Behavioral Health” to enable ability to trigger BHI codes. Also ensure the protocol has a physiologic data question in order to trigger RPM within the same protocol as BHI.
To review the patients full billing type, open the billing dialog and review:
Follow the procedure for documenting BHI CoCM for these BHI/RPM co-billable patients as described above.