Update! HCPCS code changed to CPT code for 2018!
For information about billing CoCM.BHI in 2017, see the article on Collaboration of Care Model for Behavioral Health Integration (CoCM.BHI).
These CPT codes replace the HCPCS codes for Collaborative Care Management, Behavioral Health Integration (CoCM-BHI) that were developed in 2017. G0502, G0503 and G0504 are replaced in 2018 with these new CPT codes.
CMS is recognizing and paying for non-face-to-face care collaboration services for patients with behavioral health conditions as part of their support for primary care physicians.
The PCP directs the work of a behavioral health care manager in consultation with a psychiatric physician, NP or PA. This recognizes the work and time of practitioners and staff in caring for patients with behavioral conditions outside of an E/M visit.
These services require an initiating visit by a physician or non-physician practitioner (NPP) who can perform E/M services as part of their scope of practice. CPT uses the term qualified healthcare professional.
These patients “typically” have a newly diagnosed condition, according to the 2018 CPT book, but may also need help in engaging in treatment or have not responded to standard treatment. It would seem from CPT that the psychiatric condition isn’t required to be newly diagnosed.To unlock the rest of this article and access our premium content library of articles, billing guides, quick reference sheets and more, become a member. Already a member? Login