CoCM Codes & Required Elements

Use these codes with Collaborative Care. Time thresholds and required elements follow CMS and AIMS guidance.

Codes

• 99492 - Initial psychiatric CoCM: first 70 minutes in the first calendar month
• 99493 - Subsequent psychiatric CoCM: first 60 minutes in a following month
• 99494 - Add-on: each additional 30 minutes in a calendar month (list separately)
• G0512 - CoCM monthly case rate for FQHC/RHC settings
• G2214 - first 30 minutes per payer/MAC policy; verify locally

Required elements

• Patient consent for CoCM participation
• Patient included in a registry; systematic case review (BHCM + psychiatric consultant)
• Measurement‑based treatment to target with validated scales (e.g., PHQ‑9, GAD‑7)
• Care plan revisions when patients aren’t improving; brief evidence‑based interventions
• Treating prescriber directing care (PCP/NP/PA); BHCM delivers most activities; psychiatric consultant supports weekly SCR

Notes

• FQHC/RHC use G0512 for CoCM rather than 99492/99493/99494; check plan guidance
• Time calculations follow CPT rules; payer policies vary
• CoCM is billed monthly; episodes end when goals are met, referred out, or after gaps in care per payer policy
• When other care-management programs (navigation, SDOH, CCM) run in parallel, CoCM consents and minutes stay separate and time is never double-counted.

Further reading

• CMS MLN: Behavioral Health Integration Services
• AIMS Center: Collaborative Care Implementation Guide
• APA/AIMS CoCM FAQs