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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)