99484 Care management service bhvl hlth cond
Also known as: behavioral health care management, mental health care coordination
Care management service for patient with behavioral health condition, including assessment, care coordination, and provider collaboration.
In Plain Language
care coordination for anxiety, depression, or mental health
Clinical Context
Used when care manager or behavioral health specialist provides non-face-to-face coordination of behavioral health services for patients with psychiatric conditions.
RVU Breakdown
| Work RVU | 0.93 |
| Total RVU | 0.93 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 0.93, this code ranks in the 24th percentile among Evaluation & Management codes — 1.7x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99484?
CPT 99484 (Care management service bhvl hlth cond) is a Evaluation & Management code. Care management service for patient with behavioral health condition, including assessment, care coordination, and provider collaboration.
Who uses CPT code 99484?
CPT 99484 is used by Psychiatry, Behavioral Health, Internal Medicine. Used when care manager or behavioral health specialist provides non-face-to-face coordination of behavioral health services for patients with psychiatric conditions.
When is CPT 99484 used?
Used when care manager or behavioral health specialist provides non-face-to-face coordination of behavioral health services for patients with psychiatric conditions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.