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BHIBase2026 Compliant

CPT G2214

2026 Billing Guide

CoCM Limited Time 30 min

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)

Standard Formula Applied

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

Place of Service

11 (Office)12 (Home)22 (On Campus-Outpatient Hospital)

NCCI Exclusions

Do not bill with:994929949399484G0511

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

Clear log of at least 31 minutes of activity
Evidence of psychiatric consultant participation (registry review signature)
Updated validated rating scales (PHQ-9/GAD-7)
Logic documentation for why higher time thresholds were not reached

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

Patient stabilized on F32.1 (Depression) requiring only 35 minutes of registry updates and check-ins
Subsequent month for G41.1 (GAD) where clinical goals are nearly met

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

Primary CareIntegrated Psych ClinicsFederally Qualified Health Centers (FQHC)

Typical Clinical Indications (ICD-10)

F33.0 (Recurrent Depression)F41.8 (Other anxiety disorders)F43.10 (PTSD)

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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CPT Code G2214 for CoCM Limited Time 30 min - 2026 Reimbursement & Rules