Last updated: October 2026CMS rates · Free lookup
Medicare Fee Schedule Lookup
Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, MS-DRG, or NDC code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights and national rates, anesthesia conversion factors, the Clinical Laboratory Fee Schedule, DMEPOS, ambulance, opioid treatment program, and Part D negotiated price data from CMS.
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99492
20262025
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Physician Fee Schedule·99492·National·2026, 2025
Current non-facility rate
$160.32▲0.0%
Facility: $82.17
Recent trend
Code description
1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 99492 | 10/2026 | N/A | 00 | 00000 | $160.32 | $82.17 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 7/2026 | N/A | 00 | 00000 | $160.32 | $82.17 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 4/2026 | N/A | 00 | 00000 | $160.32 | $82.17 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 1/2026 | N/A | 00 | 00000 | $160.32 | $82.17 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 10/2025 | N/A | 00 | 00000 | $145.24 | $90.89 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 7/2025 | N/A | 00 | 00000 | $145.24 | $90.89 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 4/2025 | N/A | 00 | 00000 | $145.24 | $90.89 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
| 99492 | 1/2025 | N/A | 00 | 00000 | $145.24 | $90.89 | 1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies |
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Medicaid comparison
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17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.
Related codes
99493Sbsq Psyc Collab Care Mgmt, Subsequent Psychiatric Collaborative Care Management First 60 Minutes In A Subsequent Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation Participation In Weekly Caseload Consultation With The Psychiatric Consultant Ongoing Collaboration With And Coordination Of The Patient S Mental Health Care With The Treating Physician Or Other Qualified Health Care Professional And Any Other Treating Mental Health Providers Additional Review Of Progress And Recommendations For Changes In Treatment As Indicated Including Medications Based On Recommendations Provided By The Psychiatric Consultant Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment Strategies Monitoring Of Patient Outcomes Using Validated Rating Scales And Relapse Prevention Planning With Patients As They Achieve Remission Of Symptoms And Or Other Treatment Goals And Are Prepared For Discharge From Active Treatment
$144.96994941st Sbsq Psyc Collab Care, Initial Or Subsequent Psychiatric Collaborative Care Management Each Additional 30 Minutes In A Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional List Separately In Addition To Code For Primary Procedure
$61.4699484Care Mgmt Svc Bhvl Hlth Cond, Care Management Services For Behavioral Health Conditions At Least 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional Per Calendar Month With The Following Required Elements Initial Assessment Or Follow Up Monitoring Including The Use Of Applicable Validated Rating Scales Behavioral Health Care 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 And Continuity Of Care With A Designated Member Of The Care Team
$57.45Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
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