Part of Behavioral Health Integration
HCPCS G2214: Psychiatric Collaborative Care Model, first 30 minutes
Lower-time alternative to 99492 (initial month) or 99493 (subsequent months) for a calendar month where only 30 minutes of behavioral health care manager time was furnished, rather than the full 70- or 60-minute threshold.
Time threshold & code combinations
First 30 minutes of behavioral health care manager time in a calendar month, whether an initial or subsequent CoCM month.
- Mutually exclusive with 99492 and 99493 for the same month, choose based on how much behavioral health care manager time was actually documented
- Not billed in the same month as 99484 for the same patient
Who can bill
- Physicians and non-physician practitioners directing the behavioral health care manager
Eligibility & billing requirements
- Patient enrolled in CoCM (new or ongoing)
- A behavioral health care manager and psychiatric consultant are engaged for the case
- Documented consent to CoCM
- Same care-manager, rating-scale, and psychiatric-consultant review requirements as 99492/99493, just at a lower monthly time threshold
- Only reported when time didn't reach the 70-minute (initial month) or 60-minute (subsequent month) thresholds for 99492/99493
When to use it
Lighter-touch CoCM month
In a month where the behavioral health care manager only reached 30 minutes of documented time reviewing the case with the psychiatric consultant, the practice bills the lower-time code instead of 99492/99493.
Billing: G2214
Documentation checklist
- Time log showing 30 minutes of behavioral health care manager time
- Rating scale results
- Evidence of psychiatric consultant involvement
Common billing mistakes
- Billing G2214 in addition to 99492 or 99493 for the same month
- Billing G2214 when time actually met the higher 99492/99493 threshold (should bill the higher-value code instead)