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Medicare classifies Behavioral Health as any mental or psychiatric conditions and behavioral issues such as substance use disorders. CMS States, “Integrating Behavioral Health Care with Primary Care (Behavioral Health Integration or BHI) is now widely considered as an effective strategy for improving outcomes for millions of Americans with mental or behavioral health conditions.
Medicare makes separate payments to physicians and non physician practitioners for BHI services they supply to beneficiaries over a calendar month service period”.
There are several CPT codes to bill for General BHI, CoCM (Psychiatric Collaborative Care Model), Chronic Pain and other Telebehavioral Health Services. BHI code billed by primary care and other defined providers use CPT code 99484 billed for a minimum of 20 minutes of care per calendar month, per patient. The 20 minutes of care may include in person or virtual visit and care management and coordination activities delivered by care team under the general supervision of Billing Practitioner