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CPT 99493: Psychiatric Collaborative Care Management, First 60 Minutes
CPT code 99493 represents psychiatric collaborative care management (CoCM) for patients receiving behavioral health treatment in coordination with their primary care provider. It is used to report the first 60 minutes of CoCM delivered in a month after the initial month of care. This code matters nationally as collaborative care models expand across primary care to address mental health access, integrate psychiatric expertise into general medical settings, and support population-based management of behavioral health conditions. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn how CPT code 99493 is defined and applied in clinical workflows, the typical sites of service where it is billed, which payers recognize and reimburse the service, and what operational benchmarks and policy considerations are relevant to practices implementing CoCM. The publication also outlines documentation and service elements tied to the code and highlights areas where payer policies and national guidance commonly affect billing and program design. Data not available in the input: specific payer policy details, associated taxonomies, and ICD-10 diagnoses.
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Billing Code Overview
CPT code 99493 describes psychiatric collaborative care management (CoCM) provided by a clinician working with a patient’s primary care provider. The code is reported for the first 60 minutes of CoCM in a subsequent month after the initial month of care and reflects ongoing psychiatric care management that includes regular psychiatric interspecialty consultation and coordination with the treating or billing primary care provider.
Service type: Behavioral health collaborative care management
Typical site of service: Primary care settings and outpatient clinics where patients receive behavioral health treatment in coordination with a primary care provider