CPT 99492: Initial Psychiatric Collaborative Care Management
CPT 99492 reports the first 70 minutes of psychiatric Collaborative Care Model (CoCM) services in the initial month, delivered by a behavioral health care manager and directed by the treating physician with a psychiatric consultant. In 2026 Medicare pays about $160.32 non-facility (4.80 total RVUs times the $33.4009 conversion factor).
- Code type
- Psychiatric CoCM (initial month)
- 2026 non-facility
- $160.32 (4.80 RVUs)
- 2026 facility
- $82.17 (2.46 RVUs)
- Requirement
- 70 min care-manager time, initial month
What is CPT 99492 used for?
CPT 99492 reports the initial month of psychiatric Collaborative Care Model (CoCM) services, the first 70 minutes of behavioral health care-manager time, directed by the treating practitioner in consultation with a psychiatric consultant. CoCM is an evidence-based, team-delivered model for depression, anxiety, and other behavioral health conditions managed in primary care.
The model has three defined roles: the treating (billing) practitioner, a behavioral health care manager who delivers proactive, registry-based follow-up, and a psychiatric consultant who advises on treatment. 99492 is billed once, only in the initial month a patient begins CoCM for that episode. This structured team is what separates CoCM from general behavioral health integration, which needs no care manager or psychiatric consultant.
How much does 99492 pay in 2026?
99492 carries 4.80 non-facility RVUs and 2.46 facility RVUs. At the 2026 conversion factor of $33.4009 that is about $160.32 non-facility and $82.17 in a facility, billed once in the initial month. When the care manager's time in that month runs past 70 minutes, each additional full 30 minutes stacks on with 99494. Model it on the Medicare fee calculator.
The CoCM code family
| Code | Service | 2026 non-facility |
|---|---|---|
| 99492 | Initial month, first 70 min | ~$160.32 |
| 99493 | Subsequent month, first 60 min | ~$144.96 |
| 99494 | Each additional 30 min | ~$61.46 |
Use 99492 only in the first month of enrollment; every month after uses 99493 as the base, with 99494 for additional time. Because the time counted is the care manager's, not the physician's, the logs have to attribute minutes to the care manager and show an active psychiatric consultant relationship.
Frequently asked questions
CoCM is a structured behavioral health model with three roles: the treating (billing) practitioner, a behavioral health care manager, and a psychiatric consultant. The care manager delivers proactive follow-up and a registry-based approach; the psychiatric consultant advises on treatment. 99492 reports the first 70 minutes of care-manager time in the initial month of enrollment.
The 2026 national non-facility allowed amount is about $160.32 (4.80 total RVUs times $33.4009) and about $82.17 in a facility. It is billed once, only in the initial month a patient begins CoCM.
99492 is the initial-month code (first 70 minutes of care-manager time). 99493 is the subsequent-month code (first 60 minutes). Use 99492 only in the first month of CoCM enrollment for that episode; every month after uses 99493, with 99494 for additional time.
Sources & further reading
Reviewed by the ImmediCare Solutions RCM team
Certified billers and coders handling claims across 50+ specialties nationwide. This entry is reviewed against current payer policy and CMS rules. Last review: Jul 5, 2026.
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