Care Mgmt · CMS status A
99484
Behav health care mgmt 20 min/mo
General behavioral health integration care management services, at least 20 minutes of clinical staff time per calendar month.
Work RVU
0.61
2026 Medicare pays
$43.76
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.61 + Practice 0.66 + Malpractice 0.04 = 1.31 total
Work (your effort)Practice expenseMalpractice
When to use it
Patient with diagnosed behavioral health condition managed in primary care, receiving 20+ min of staff care management per month.
Documentation checklist
- ✓Behavioral health diagnosis.
- ✓Care plan addressing the BH condition.
- ✓Patient consent (verbal or written, documented).
- ✓20+ min of clinical staff time logged in the calendar month.
Common pitfalls
- !Cannot also bill the psychiatric collaborative care codes (99492-99494) the same month.
- !Requires consent — easy to forget.
Common ICD-10 pairings
F32.9F41.1
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.