Starting in 2017, the Centers for Medicare & Medicaid Services (CMS) provided new Healthcare Common Procedure Coding System (HCPCS) codes for care management payment.
Here are the codes and descriptions:
- G0502: Initial psych care management, 70 minutes.
- G0503: Subsequent psych care management, 60 minutes.
- G0504: Initial/subsequent psych care management, additional 30 minutes.
- G0507: Care management services, minimum 20 minutes.
The G0507 must include:
- Initial assessment or follow-up monitoring, including use of applicable validated rating scales.
- Behavioral healthcare planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes.
- Facilitating and coordinating treatment, such as psychotherapy, pharmacotherapy, counseling, and/or psychiatric consultation.
- Continuity of care with a designated member of the care team.
Source: AIMS Center, University of Washington; aims.uw.edu.
Starting in 2017, the Centers for Medicare & Medicaid Services provided new Healthcare Common Procedure Coding System codes for care management payment.
Article Limit Reached
You have reached your article limit for the month. Subscribe now to access this article plus other member-only content.
- Award-winning Medical Content
- Latest Advances & Development in Medicine
- Unbiased Content