CPT code 99484: Behavioral health management, general integration service2026 Medicare rate & RVUs in Louisiana
Monthly behavioral health integration for a patient with a behavioral or psychiatric condition when clinical staff provide at least 20 minutes of directed care management.
Medicare pays $54.56–$56.28 for 99484 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 99484 covers
99484 covers ongoing integration of behavioral health care into a patient’s medical care. A physician or other qualified health professional directs the service, while clinical staff may perform the care-management work. Typical situations include supporting a primary care patient being treated for depression or anxiety through monitoring, care planning, and coordination with behavioral health services. The work can take place in an office-based practice or another setting where the patient’s medical care is managed.
Report the code once for a calendar month in which the required clinical-staff time is met; it is not reported per call or contact. Documentation should identify the behavioral or psychiatric condition, assessment or monitoring, care-planning and coordination work, total time, and clinician direction. Assessment, care planning, treatment coordination, and continuity activities are parts of this monthly service, rather than separate units of 99484. CMS assigns the code physician work and practice-expense values, with different practice-expense inputs for office and facility settings.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 99484 pays more and less in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | $56.28 | $38.68 |
| Rest of Louisiana | $54.56 | $38.01 |
How the 99484 rate is calculated
Each of 99484’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 99484
RVUs × geographic indexes × conversion factor
Work0.93
0.93 RVUs× 1.000 GPCI
Practice expense0.73
0.73 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.7200
Conversion factor
$33.4009
Medicare rate
$57.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99484
99484 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 99484
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$57.45
- Non-facility (office)
- $57.45
- Facility
- $38.75
Higher because the practice carries its own overhead.
99484 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99492Psychiatric care managementInitial month, first 70 minutes
- Choose 99492 for the initial month of psychiatric collaborative care with its structured team model; 99484 is the general behavioral health integration service.
- 99493Collaborative careSubsequent month
- 99493 describes subsequent-month psychiatric collaborative care. 99484 is not distinguished by an initial-versus-subsequent collaborative-care month.
- 99490Chronic care managementClinical staff, first 20 minutes
- 99490 is chronic care management for eligible chronic conditions. Use 99484 for the behavioral health integration service, not simply because a behavioral condition is chronic.
99484 billing questions
How is 99484 different from 99492 or 99493?
99484 represents general behavioral health integration. Use 99492 or 99493 when the service follows the structured psychiatric collaborative care model, with its defined team and care-management approach.
What time counts toward 99484?
Count clinical-staff time spent on the qualifying behavioral health care-management work during the calendar month, under physician or qualified health professional direction. Report the code only when the monthly minimum is met.
Can 99484 be reported for each phone call or care-plan update?
No. It represents the qualifying monthly service, not a separate claim unit for each contact or activity.
What documentation supports the service?
Document the behavioral or psychiatric condition, assessment or monitoring, care planning and coordination performed, the clinical-staff time for the month, and physician or qualified health professional direction.
Are assessment, care planning, and coordination separately reported?
They are elements of the 99484 monthly service. Do not treat those included activities as separate units of this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 99484 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet