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CPT 99492

CPT Code 99492: Psychiatric collaborative care, first 70 min

Duration
70 min
Typical Fee
$150-$300
Type
Outpatient therapy

When to Use CPT 99492

Use CPT code 99492 when billing for psychiatric collaborative care, first 70 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99492 to a Superbill

When generating a superbill with CPT 99492, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99492:

Documentation Requirements

Document 70+ minutes of collaborative care in the first calendar month. Include behavioral health care manager activities and psychiatric consultant involvement.

Common Denial Reasons

  • Fewer than 70 minutes documented in the initial month
  • Missing psychiatric consultant involvement in the care plan
  • Practice does not meet collaborative care model requirements

Reimbursement Expectations

OON reimbursement typically 45-65% of UCR. Expect $68-$195 for the initial month.

Related Guides

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