99484 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.
To be eligible, patients must have an identified psychiatric or behavioral health condition that requires assessment, planning and treatment. These conditions may be pre-existing or newly diagnosed. Patients may have other medical conditions, but this isn’t a requirement for the use of the code.