99492, 99493, 99494 and G2214: time thresholds with examples
Collaborative Care codes are billed monthly and depend on behavioral health care manager time. Payers apply the time rules differently, so confirm yours. For the full launch path, see How to start a Collaborative Care (CoCM) program in primary care.
What are the requirements to bill 99492 and related CoCM codes?
99492
Initial month of Collaborative Care, first 70 minutes of care manager time. Used once at the start of an episode.
99493
Each later month, first 60 minutes of care manager time.
99494
Each additional 30 minutes in a month. Added to 99492 or 99493.
G2214
For Medicare, 30 minutes of care manager time in a month when 99492 or 99493 thresholds are not met.
What care manager time counts toward 99492?
- Care manager time with the patient and on behalf of the patient
- Care coordination and registry review
- Time spent working with the psychiatric consultant
Time spent on separate evaluation and management visits does not count toward Collaborative Care.
Does the CPT midpoint rule apply to 99492?
Under general CPT time rules, a time-based code is often reportable once you pass its midpoint. Some payers apply this to CoCM and some require the full time. State Medicaid programs have published their own thresholds.
What do example months look like for 99492 billing?
Check your payer before using these.
| Scenario | Likely coding |
|---|---|
| First month, 80 minutes | 99492 |
| First month, 90 minutes | 99492 plus 99494, if the payer allows |
| Later month, 65 minutes | 99493 |
| Later month, 95 minutes | 99493 plus 99494 |
| Later month, 25 minutes | G2214 for Medicare if the minimum is met, otherwise not billable |
What else do you need besides time to bill 99492?
- Patient consent
- The care team and psychiatric consultant arrangement
- A registry and weekly caseload review
- Documentation of time
Frequently asked questions
Can I bill 99492 more than once?
Generally only in the first month of an episode.
Who bills?
The treating provider, usually the primary care clinician.
Sources and check date
Code names and minute thresholds follow the public CPT and HCPCS descriptions for 99492, 99493, 99494 and G2214. Midpoint and full-time rules vary by payer. Confirm with your Medicare administrative contractor or Medicaid program. Checked against public CMS materials as of October 11, 2026. Primary sources: the CMS Behavioral Health Integration Services booklet (MLN909432) and the CMS Care Management overview.
Related Triad guides
- How to start a Collaborative Care (CoCM) program in primary care
- CoCM vs BHI vs Advanced Primary Care codes: which fit your practice
How Triad helps
Triad provides the care manager, consultant and billing documentation. See if CoCM fits your practice.