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BHIBase2026 Compliant

CPT G0323

2026 Billing Guide

CP/CSW BHI 20 min

Reimbursement

$43.42

Threshold

20m

2026 Status

Active

What is CPT Code G0323?

CPT G0323 is defined as: Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist or clinical social worker time, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; a person-centered care plan; coordination of care and referrals, and a continuous relationship with an assigned member of the care team.

This code is primarily used for BHI services. It falls under the category of Behavioral Health Integration (BHI) / General and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0.61

Physician Effort

PE (Non-Fac)

0.66

Practice Expense

Malpractice

0.03

Risk Factor

Total RVU

1.3

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

independent billing

Allows CP and CSW to be the primary billing entity for care management, separate from physician-led BHI (99484).

efficiency shield

Exempt from the -2.5% efficiency adjustment as it is a time-based management service.

virtual supervision

While CPs/CSWs often work independently, any coordinated activities can utilize virtual direct supervision if applicable.

Administrative Framework

Place of Service

11 (Office)12 (Home)49 (Independent Clinic)

NCCI Exclusions

Do not bill with:90832908349083799484

Key Modifiers

AJClinical social worker service (mandatory for CSW billing)
AHClinical psychologist service (mandatory for CP billing)

Operational Requirements

minimum time

20 minutes per calendar month

staff type

Clinical Psychologist (CP) or Clinical Social Worker (CSW)

frequency

Once per calendar month

add on codes

care plan requirement

Person-centered care plan including assessment of behavioral health needs and coordination of referrals.

Compliance Checklist

Use of validated rating scales (e.g., PHQ-9, GAD-7) for initial and follow-up monitoring
Documentation of coordinated care activities and referrals
Time log of non-face-to-face services (must meet 20-minute threshold)
Evidence of a continuous relationship with a member of the care team

Audit Defense

No specific audit defense elements defined.

2026 Update

Medicare is expanding the utilization of CP/CSW-led management to address the increasing demand for behavioral health access.

Common Clinical Scenarios

F32.9 (Major depressive disorder, single episode)
F41.1 (Generalized anxiety disorder)
F11.20 (Opioid dependence, uncomplicated)

CMS Eligibility: 1 or more behavioral health conditions. Duration of management is based on clinical necessity

Target Specialties & Utilization

Mental Health ClinicsPrimary Care Integrated Behavioral Health

Typical Clinical Indications (ICD-10)

F32.9 (Depression)F41.1 (Anxiety)F10.20 (Alcohol use disorder)

Billing Differentiation

VS 99484

99484 is physician-led; G0323 is for management personally provided by a psychologist or social worker.

VS 90832

9083x codes are for face-to-face psychotherapy sessions; G0323 is for care management and coordination.

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CPT Code G0323 for CP/CSW BHI 20 min - 2026 Reimbursement & Rules