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99492 first psyc collab care management

Evaluation & Management

Also known as: psychiatric collaborative care, behavioral health integration

First collaborative care management visit for patient with psychiatric condition, involving physician and behavioral health specialist with face-to-face evaluation.

In Plain Language

doctor and mental health specialist work together on your care

Clinical Context

Used in integrated care models where primary care physician and behavioral health specialist collaborate in initial assessment and treatment planning for psychiatric conditions.

RVU Breakdown

Work RVU1.88
Total RVU1.88

Est. Medicare Payment

$62.79

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 1.88, this code ranks in the 61st percentile among Evaluation & Management codes — 1.2x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

PsychiatryInternal MedicineBehavioral Health

Frequently Asked Questions

What is CPT code 99492?

CPT 99492 (first psyc collab care management) is a Evaluation & Management code. First collaborative care management visit for patient with psychiatric condition, involving physician and behavioral health specialist with face-to-face evaluation.

Who uses CPT code 99492?

CPT 99492 is used by Psychiatry, Internal Medicine, Behavioral Health. Used in integrated care models where primary care physician and behavioral health specialist collaborate in initial assessment and treatment planning for psychiatric conditions.

When is CPT 99492 used?

Used in integrated care models where primary care physician and behavioral health specialist collaborate in initial assessment and treatment planning for 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.