CPT Code 99493: Psychiatric collaborative care, each additional 30 min

When to Use CPT 99493

Use CPT code 99493 when billing for psychiatric collaborative care, each additional 30 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99493 to a Superbill

When generating a superbill with CPT 99493, 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 99493:

Documentation Requirements

Document 60+ minutes of collaborative care in subsequent months. Include ongoing care manager and psychiatric consultant activities.

Common Denial Reasons

• ✗ Fewer than 60 minutes documented in the subsequent month
• ✗ Missing ongoing psychiatric consultant review
• ✗ Care management activities not adequately documented

Reimbursement Expectations

OON reimbursement typically 45-60% of UCR. Expect $27-$72 per subsequent month.