Summary & Overview
HCPCS G2214: Psychiatric Collaborative Care Management, First 30 Minutes
HCPCS Level II code G2214 covers the first 30 minutes in a month of behavioral health care manager activities within a psychiatric collaborative care model, performed in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional. This code recognizes time-based care management activities that support psychiatric diagnosis, follow-up, treatment planning, and coordination across providers. Nationally, G2214 matters because collaborative care is a widely endorsed model for integrating behavioral health into primary care and addressing mental health access and outcomes.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines what organizations and clinicians need to know about billing for time-based psychiatric collaborative care management, how payers commonly approach coverage, and the clinical context in which these services are used.
Readers will learn a concise benchmark of payer coverage considerations, recent policy updates affecting behavioral health care management coding, and the clinical scenarios and service settings where G2214 is applied. The summary provides operational clarity on the service type, typical ambulatory sites of service, and the role of the behavioral health care manager within the collaborative care team.
Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, related codes, and service line details.
Billing Code Overview
HCPCS Level II code G2214 describes initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, provided in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional. This service represents time spent by a behavioral health care manager coordinating and managing a patient’s psychiatric care as part of a collaborative care model.
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Service type: Behavioral health care management (collaborative care coordination and management)
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Typical site of service: Outpatient behavioral health settings, primary care offices, or other ambulatory care locations where collaborative psychiatric care is delivered
Clinical & Coding Specifications
Clinical Context
A 38-year-old primary care patient with chronic major depressive disorder and comorbid generalized anxiety disorder is enrolled in a collaborative care program managed by a behavioral health care manager (BHCM). During the month, the BHCM conducts a 30-minute care-management session performing symptom monitoring, brief psychotherapy support, medication adherence assessment, and care coordination. The BHCM documents symptom scores (PHQ-9, GAD-7), discusses treatment options with the consulting psychiatrist, and implements the treating physician's (primary care physician) plan. The psychiatrist provides indirect consultation and documents recommendations; the treating physician remains responsible for directing overall care. Billing uses G2214 for the first 30 minutes of BHCM activities in the month when these elements are met. Typical workflow steps:
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Referral or enrollment in collaborative care by the treating physician.
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BHCM schedules and completes a 30-minute contact (in-person, telephonic, or virtual) with the patient to assess symptoms, safety, and treatment adherence.
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BHCM collects standardized measures (e.g., PHQ-9), documents care-manager interventions, and notifies the treating physician of status and recommendations.
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BHCM confers with the psychiatric consultant regarding treatment recommendations; consultant documents recommendations in the medical record.
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Treating physician reviews and directs the care plan; billing for
G2214is submitted for the first 30 minutes of BHCM activity in the month.