Care Management & Integration

99492 CPT

Initial psychiatric collaborative care management; first 70 minutes

System

CPT code

Timing

Time-based / time-tiered

Add-on

No — billable on its own

CPT 99492 reports the initial psychiatric collaborative care management (CoCM) service, covering the first 70 minutes of clinical staff time directed by a treating provider in the first calendar month.

When to use 99492

Use 99492 to start Psychiatric CoCM, which integrates a behavioral health care manager and psychiatric consultant into primary care. For subsequent months use 99493, and for additional time add 99494.

How to bill it

Report once for the first calendar month when approximately 70 minutes of qualifying clinical staff time is delivered and the required CoCM elements are in place.

Common pitfalls

  • Billing 99492 without the required behavioral health care manager or psychiatric consultant components.
  • Confusing initial (99492) with subsequent-month (99493) billing.

Frequently asked questions

What is Psychiatric CoCM?

It is a team-based model integrating a behavioral health care manager and psychiatric consulting services into primary care, billed with 99492, 99493, and 99494.

How much time does 99492 cover?

99492 covers the first 70 minutes of clinical staff time in the first calendar month of CoCM.

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