Collaborative Care & Behavioral Health Integration Billing: CPT 99492–99494 and G2214
Integrating behavioral health into primary care is good medicine — and billable, recurring revenue. Here are the 2026 CoCM and BHI codes, the roles you need, and the 2026 change that retired G0512.
Depression and anxiety walk through primary-care doors every day, and the Collaborative Care Model (CoCM) is how Medicare finally pays practices to treat them systematically. It's evidence-based, it improves outcomes, and — done right — it's recurring monthly revenue. Here's how to bill it correctly in 2026.
CoCM vs. general BHI
Two models, two billing paths. Collaborative Care (CoCM) uses a behavioral health care manager plus a psychiatric consultant and a patient registry to track a caseload. General BHI (99484) is behavioral integration delivered by the treating team without a required psychiatric consultant. If a psychiatrist is reviewing the caseload, you're likely in CoCM territory.
The codes
| Code | What it covers |
|---|---|
| 99492 | First month CoCM (~70 min care-manager time) |
| 99493 | Subsequent month CoCM (~60 min) |
| 99494 | Add-on: each additional 30 min |
| G2214 | 30-min alternative (once/month; not with 99492/99493) |
| 99484 | General BHI (no psychiatric consultant required) |
The team you need
CoCM is a role-based service. You need a treating/billing practitioner, a behavioral health care manager tracking the caseload in a registry, and a psychiatric consultant providing regular caseload review. Miss the psychiatric consultant and you're not billing CoCM — you're billing general BHI at most.
CoCM is a system, not a visit. The registry and the psychiatric consultant are what make the codes payable.
What changed in 2026
The big administrative shift: G0512 was discontinued January 1, 2026. FQHCs and RHCs that once used it now bill the standard 99492, 99493, 99494, and G2214 like everyone else. If your health center is still billing the old code, that's an immediate fix. Getting the minutes and registry right is where disciplined revenue cycle management pays off.
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The bottom line
Collaborative Care turns the behavioral health you're already navigating into structured, billable, monthly revenue — while measurably helping patients. Build the registry, name the psychiatric consultant, track the minutes, and use the 2026 codes. Start with a free billing audit.
Sources
Frequently asked questions
99492 for the first month (about 70 minutes of care-manager time), 99493 for each subsequent month (about 60 minutes), and 99494 as an add-on for each additional 30 minutes. G2214 is a shorter 30-minute alternative that can be billed once per month instead of 99492/99493 — but not in the same month as them.
CoCM (99492–99494, G2214) uses a care manager plus a psychiatric consultant and a patient registry. General BHI (99484) is care furnished by the treating practitioner’s team without a required psychiatric consultant. CoCM requires the psychiatric consultant; general BHI does not.
As of January 1, 2026, HCPCS G0512 was discontinued. FQHCs and RHCs providing CoCM now bill the standard CPT codes 99492, 99493, 99494 and HCPCS G2214, aligning them with other practices.
A time-stamped patient registry, a named psychiatric consultant, documented patient consent, and a defensible monthly time log supporting the minutes billed.
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