HCPCS Code G0507
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
| Short Description | Care manage serv minimum 20 |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2018 |
| Code Added Date | January 01, 2017 |
| Pricing Indicator | 13 = Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) |
| Type of Service | 1 = Medical care |
Cross Reference: 99484