CPT 99493: Subsequent Psychiatric Collaborative Care Management
CPT 99493 reports the first 60 minutes of psychiatric Collaborative Care Model (CoCM) services in a subsequent month, delivered by a behavioral health care manager and directed by the treating physician with a psychiatric consultant. In 2026 Medicare pays about $144.96 non-facility (4.34 total RVUs times the $33.4009 conversion factor).
- Code type
- Psychiatric CoCM (subsequent month)
- 2026 non-facility
- $144.96 (4.34 RVUs)
- 2026 facility
- $89.51 (2.68 RVUs)
- Requirement
- 60 min care-manager time, subsequent month
What is CPT 99493 used for?
CPT 99493 reports a subsequent month of psychiatric CoCM services, the first 60 minutes of behavioral health care-manager time in any month after the initial one. It carries the ongoing collaborative-care work: registry review, proactive follow-up, treatment adjustments guided by the psychiatric consultant, and coordination with the treating practitioner.
It is the recurring backbone of collaborative-care revenue: the initial month is billed once with 99492, and every month after uses 99493. Like the rest of the family, the time is the care manager's, directed by the treating practitioner with an active psychiatric consultant, and it must be documented month by month.
How much does 99493 pay in 2026?
99493 carries 4.34 non-facility RVUs and 2.68 facility RVUs. At the 2026 conversion factor of $33.4009 that is about $144.96 non-facility and $89.51 in a facility per subsequent month. Because many CoCM patients need more than 60 minutes in a given month, the add-on 99494 is commonly appended for each additional 30 minutes. Model recurring CoCM revenue on the Medicare fee calculator.
How does monthly CoCM billing work?
- Bill 99492 once in the initial month (first 70 minutes).
- Bill 99493 for each subsequent month (first 60 minutes).
- Add 99494 for each additional 30 minutes in any month.
- Keep care-manager time logs distinct and month-labeled so the base and add-ons are auditable.
Example: in month three, a care manager logs 88 minutes of registry review, patient calls, and consultant-guided adjustments. That supports 99493 plus one 99494 for the month, roughly $206.42 non-facility, not a repeat of the initial-month 99492.
Frequently asked questions
99493 requires the first 60 minutes of behavioral health care-manager time in a subsequent calendar month of CoCM (any month after the initial month billed with 99492). The time is the care manager's, directed by the treating practitioner with the psychiatric consultant, and must be documented.
The 2026 national non-facility allowed amount is about $144.96 (4.34 total RVUs times $33.4009) and about $89.51 in a facility, billed monthly for each subsequent CoCM month. It is the recurring backbone of collaborative care revenue.
Use add-on code 99494 for each additional 30 minutes of care-manager time in the month, reported with either 99492 (initial) or 99493 (subsequent). Because many CoCM patients need more than 60 minutes in a subsequent month, 99494 is commonly appended to 99493.
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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