Part of Behavioral Health Integration
HCPCS G0569: Psychiatric CoCM add-on for patients also receiving APCM, subsequent months
New 2026 add-on code letting a practitioner furnish a subsequent-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 99493.
Time threshold & code combinations
Same time and care-manager requirements as 99493 (subsequent CoCM months), billed as an add-on when the patient is also receiving APCM.
- Used instead of 99493 when the patient is also billed under APCM for the same month
- Mutually exclusive with G0568 for the same 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 for the same month
- Patient already enrolled in CoCM from a prior month
- Ongoing engagement of the behavioral health care manager and psychiatric consultant
- All the subsequent-month CoCM service elements required for 99493 (ongoing rating scale tracking, regular psychiatric consultant caseload review)
- An APCM code billed for the same patient and month
When to use it
Ongoing CoCM patient enrolled in APCM
In month four of collaborative care, a patient already receiving APCM has their care manager track rating-scale trends and review the case with the psychiatric consultant, the practice bills the APCM-specific subsequent-month add-on instead of 99493.
Billing: APCM code + G0569
Documentation checklist
- APCM code billed for the same patient and month
- Updated rating scale results
- Evidence of ongoing psychiatric consultant caseload review
Common billing mistakes
- Billing both 99493 and G0569 for the same patient and month
- Billing G0569 for a patient's first month of CoCM enrollment (should be G0568 instead)