Care Management & Integration

99494 CPT

Psychiatric collaborative care management; each additional 30 minutes (add-on)

System

CPT code

Timing

Time-based — 30-min units

Add-on

Yes — needs a primary code

CPT 99494 is the add-on to 99492 or 99493, reporting each additional 30 minutes of clinical staff time for psychiatric collaborative care management in a month.

When to use 99494

Add 99494 when CoCM clinical staff time exceeds the base amount (70 minutes in the first month under 99492, or 60 minutes in subsequent months under 99493).

How to bill it

Report one unit per additional 30 minutes alongside the base CoCM code for the same month.

Common pitfalls

  • Billing 99494 without 99492 or 99493.
  • Counting time that does not qualify as CoCM clinical staff activity.

Frequently asked questions

Is 99494 an add-on?

Yes. It must accompany 99492 or 99493 and cannot be billed alone.

How much time does each 99494 unit cover?

Each unit covers an additional 30 minutes of CoCM clinical staff time beyond the monthly base.

Related Care Management & Integration codes

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