Reimbursement
$54.44
Threshold
20m
2026 Status
Active
What is CPT Code G0570?
CPT G0570 is defined as: Behavioral Health Integration services furnished in conjunction with Advanced Primary Care Management (APCM) services, sharing a common care plan; at least 20 minutes per calendar month. This code mirrors CPT 99484 (General BHI) for patients in the APCM program.
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)
Work RVU
0.93
Physician Effort
PE (Non-Fac)
0.66
Practice Expense
Malpractice
0.04
Risk Factor
Total RVU
1.63
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
roi efficiency
High ROI code for APCM practices as it requires minimal infrastructure (no psychiatric consultant mandate) for a $54.44 reimbursement.
apcm symmetry
Ensures that even low-intensity BHI services are reportable under the new bundled management model.
equity focus
Enables broader access to behavioral health support for all patients in an APCM practice, not just those in complex CoCM.
Administrative Framework
Operational Requirements
minimum time
20 minutes per calendar month
staff type
Clinical staff working under General Supervision of MD/NP/PA
frequency
Once per calendar month
add on codes
care plan requirement
Integrated within the master APCM care plan; must address one or more behavioral health conditions.
Compliance Checklist
Audit Defense
No specific audit defense elements defined.
2026 Update
G0570 is the primary vehicle for 'General BHI' within the APCM framework from 2026 onwards.
Common Clinical Scenarios
CMS Eligibility: 1 or more behavioral health conditions. Ongoing management based on patient's longitudinal needs
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Billing Differentiation
VS 99484
99484 is the FFS version; G0570 is the APCM-linked version.
VS G2214
G2214 is for low-intensity CoCM (30m); G0570 is for General BHI (20m).
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