CMS’s goal is to recognize management services that providers and clinical staff typically provide outside of an office visit. In particular, it is valuing and paying for care management services. Most of these are CPT codes, but there are behavioral health HCPCS codes.

Although CMS is thinking about primary care, many of these codes can be billed by any specialty physician. Chronic care management may be billed by any specialty physician who is providing the service, caring for two or more chronic conditions, although these are frequently performed by primary care. Principal care management services are more likely to be reported by specialists who are caring for one condition. The collaboration of care (CoCM) codes are for patients with behavioral health diagnoses. These are billed by a primary care practitioner in collaboration with a behavioral health manager and psychiatric consultant.

There are HCPCS codes for CoCM that are add-on codes for Advanced Primary Care Management. (APCM). These are discussed in the APCM guide. 

Principal Illness Navigation, Caregiver Training Services and Community Health Integration are covered in articles on CodingIntel.

The CMS MedLearn Matters article on Behavioral Health Integration services is MLN909432. As of Dec. 2025, the latest version is from April 2025.
https://www.cms.gov/files/document/mln909432-behavioral-health-integration-services.pdf

The CMS MedLearn Matters article on Care Management is MLN909188. As of Dec. 2025, the latest version if from June 2025.

Table of Contents

• Chronic Care Management – 99487, 99489, 99490
• Principal Care Management (PCM) – 99424—99427
• Transitional Care Management – 99495, 99496
• Psychiatric Collaborative Care Management Services (PCCM) – 99492—99494
• General Behavioral Health Integration Care Management – 99484