CMS established a code for care management of behavioral health conditions which can be reported in all settings.
G0507 – Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements:
- Initial assessment or follow-up monitoring, including the use of applicable validated rating scales;
- Behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes;
- Facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and
- Continuity of care with a designated member of the care team
HCPCS codes G0502, G0503, and G0504 cannot be reported in the same month.
It does require an initiating E&M visit which cannot be reported with HCPCS G0506.
It can be performed as incident to or under general supervision. The billing provider must have ongoing involvement with the patient and care manager. The care manager must be available for face-to-face services.
The same provider can report 99490 and G0507 in the same month but CMS will be monitoring utilization.