Reimbursement
$50.10
Threshold
30m
2026 Status
Active
What is CPT Code G2214?
CPT G2214 is defined as: Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager time, in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional. Used when time does not meet the threshold for 99492 or 99493.
This code is primarily used for BHI services. It falls under the category of Behavioral Health Integration (BHI) / CoCM 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
0.76
Physician Effort
PE (Non-Fac)
0.7
Practice Expense
Malpractice
0.04
Risk Factor
Total RVU
1.5
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
revenue protection
Acts as a 'safety net' allowing billing for services between 31 and 69/59 minutes that would otherwise be uncompensated under standard CoCM rules.
flexible engagement
Supports patients who need CoCM structure but cannot or do not require high-volume face-to-face or phone contact in a given month.
efficiency shield
Exempt from the -2.5% efficiency adjustment applied to non-time-based services.
Administrative Framework
Operational Requirements
minimum time
At least 31 minutes up to thresholds of higher codes
staff type
Behavioral Health Care Manager (BHCM) with Psychiatric Consultant
frequency
Once per calendar month
add on codes
care plan requirement
Must include all core CoCM elements: registry review, consultant contact, and systematic monitoring.
Compliance Checklist
Audit Defense
No specific audit defense elements defined.
2026 Update
G2214 remains a critical tool for maintaining revenue continuity in long-term psychiatric collaborative care programs.
Common Clinical Scenarios
CMS Eligibility: Behavioral health conditions requiring CoCM model. Patient phase where high-intensity (70/60m) is no longer required but stabilization continues
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Billing Differentiation
VS 99492_99493
G2214 is used when the 70 min (month 1) or 60 min (month 2+) thresholds are not met.
VS 99484
99484 (General BHI) requires only 20 minutes and NO psychiatric consultant; G2214 requires 30 minutes AND a consultant.
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