As a reminder, when billing Point32Health members for services that are delivered through the Psychiatric Collaborative Model of Care, also referred to as Collaborative Care Model (CoCM), it’s important to use the following procedure codes:
- 99492: Initial psychiatric collaborative care management, in the first calendar month first 70 minutes
- 99493: Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month.
- 99494: Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month
- G2214: Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month
Psychiatric Collaborative Model of Care is an integrated behavioral health service delivery method in which a health care provider and a care manager provide structured care management to a patient, while working in collaboration with a psychiatric consultant who reviews the clinical status and care of the patient and makes recommendations. While Collaborative Model of Care codes are typically billed by the patient’s primary care physician, they can also be billed by providers with other specialties.
You can find information about the Psychiatric Collaborative Model of Care, including coding, in our Harvard Pilgrim and Tufts Health Plan Evaluation & Management Payment Policies.
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