CPT Code 99494: Psychiatric collaborative care, additional 60 min

When to Use CPT 99494

Use CPT code 99494 when billing for psychiatric collaborative care, additional 60 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99494 to a Superbill

When generating a superbill with CPT 99494, 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 99494:

Documentation Requirements

Document additional 30+ minutes beyond the initial or subsequent monthly threshold. Justify the clinical need for extended collaborative care time.

Common Denial Reasons

• ✗ Billed without the primary 99492 or 99493 code in the same month
• ✗ Additional time not clearly documented or justified
• ✗ Does not meet add-on threshold requirements

Got one of these on a remittance? Decode the denial code.

Modifier Notes

Add-on code — must be billed with 99492 or 99493 in the same calendar month.

Reimbursement Expectations

OON reimbursement typically 45-60% of UCR. Expect $45-$120 for the additional time.