There are five major BHI CPT Codes, based on the level of psychiatric collaborative care and CoCM services provided in RHCs and other medical facilities.
HealthArc’s BHI platform is designed to reimburse for all behavioral health integration services and covers identification of behavioral health conditions, development of a care plan, ongoing care coordination, psychiatric consultation and treatment modifications.
Brief Overview of the Latest Behavioral Health Integration (BHI) CPT Codes for 2026
CPT 99484 – General BHI Care Management
- Monthly reporting code for 20 minutes or more of clinical staff time under the direction of a physician or QHP.
- Includes ongoing assessment, care plan development, and care coordination.
- No requirement for a full collaborative care model (i.e., can be used for less complex integration efforts).
CPT 99492 – Initial Psychiatric Collaborative Care, First 70 Minutes
- Used for the first 70 minutes in the initial month that collaborative care services are provided.
- Includes care management provided by the behavioral health care manager, psychiatric consultation, and treatment plan development.
- Represents a structured collaborative care team involving a PCP, care manager, and psychiatric consultant.
CPT 99493 – Subsequent Psychiatric Collaborative Care, First 60 Minutes
- Used for the first 60 minutes in a subsequent month of collaborative care.
- Covers continued care management, psychiatric input, and ongoing adjustments to the care plan.
CPT 99494 – Each Additional 30 Minutes (Collaborative Care)
- Add-on code for each additional 30 minutes of collaborative care services.
- Billed with either 99492 (initial month) or 99493 (subsequent months) when time exceeds thresholds.
G0512 – Rural Health Clinic / FQHC Add-On (When Applicable)
- Used in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
- Reflects payment for CoCM services provided in these facilities.
Who Can Bill for BHI?
All the BHI CPT codes can be reported and billed by:
- Physicians (MDs or DOs)
- Nurse Practitioners (NPs)
- Physician Assistants (PAs)
- Clinical Nurse Specialists (CNSs)
- Certified Nurse Midwives (CNMs)
Although the actual delivery of care may be performed by clinical staff and a behavioral health care manager, billing must always be submitted under a physician or qualified health care practitioner who supervises or directs the service.
Latest Medicare Reimbursement for BHI Services in 2026
Medicare reimbursement for the commonly billed BHI codes:
- Code 99484: ~$50–$60 per month.
- Code 99492: ~$140–$160 (initial month).
- Code 99493: ~$120–$140 (subsequent months).
- Code 99494: ~$65 per additional 30 minutes.
- Code G0512: Adjusted RHC/FQHC-specific rates.
Note: Rates vary by region, payer contracts, and billing practitioners. Commercial payers may reimburse at different rates. All reimbursements must adhere to CMS guidelines.
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Understanding Behavioral Health CPT Codes and Billing Requirements
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How Can HealthArc Help You?
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- Automated BHI time tracking & billing
- 99484, 99492, 99493 & 99494 tracked for you
- Two-way EHR integration
- Managed care team, or your own
- Runs alongside CCM and RPM on one platform
- Live in about 30 days
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