Part of Behavioral Health Integration
HCPCS G0568: Psychiatric CoCM add-on for patients also receiving APCM, initial month
New 2026 add-on code letting a practitioner furnish the first-month Psychiatric Collaborative Care Model service to a patient who is also receiving Advanced Primary Care Management (APCM) in the same month, instead of billing the standalone 99492.
Time threshold & code combinations
Same time and care-manager requirements as 99492 (initial CoCM month), billed as an add-on when the patient is also receiving APCM.
- Used instead of 99492 when the patient is also billed under APCM for the same month, not in addition to it
- Mutually exclusive with G0569 for the same month (choose initial vs. subsequent CoCM month)
Who can bill
- Physicians and non-physician practitioners directing the behavioral health care manager, who are also billing APCM for the same patient
Eligibility & billing requirements
- Patient is enrolled in APCM (G0556, G0557, or G0558) for the same month
- New or newly enrolled CoCM patient with a behavioral health condition
- A behavioral health care manager and psychiatric consultant are engaged for the case
- All the initial-month CoCM service elements required for 99492 (initial assessment, validated rating scale, care plan, psychiatric consultant review)
- An APCM code (G0556, G0557, or G0558) billed for the same patient and month
When to use it
New CoCM patient already enrolled in APCM
A patient already receiving APCM is newly enrolled in collaborative care for depression, the practice bills the APCM-specific initial-month CoCM add-on instead of the standalone 99492.
Billing: APCM code + G0568
Documentation checklist
- APCM code billed for the same patient and month
- Initial validated rating scale results
- Evidence of psychiatric consultant involvement in the initial review
Common billing mistakes
- Billing both 99492 and G0568 for the same patient and month
- Billing G0568 without an APCM code billed for the same month