CPT code 99484: Behavioral health management, general integration service2026 Medicare rate & RVUs in Montana
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.
In Montana, Medicare pays $57.45 for 99484 in the office and $38.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99484 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How Montana compares for 99484
Across 109 of 109 payment localities, the office rate for 99484 runs from $53.04 in Arkansas to $73.67 in Alaska. Montana pays $57.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$57.45
- Los Angeles, CA · California$62.51+$5.06
- Washington, DC area · District of Columbia$63.69+$6.24
- Miami, FL · Florida$61.51+$4.06
- Chicago, IL · Illinois$60.38+$2.93
- Manhattan, NY · New York$64.56+$7.11
- Alaska · Alaska$73.67+$16.22
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $53.53 | $37.17 |
| ArkansasArkansas | $53.04 | $36.97 |
| ArizonaArizona | $56.41 | $38.28 |
| Bakersfield, CACalifornia | $59.60 | $39.10 |
| Chico, CACalifornia | $59.39 | $38.89 |
| El Centro, CACalifornia | $59.40 | $38.90 |
| Fresno, CACalifornia | $59.39 | $38.89 |
| Hanford, CACalifornia | $59.39 | $38.89 |
| Madera, CACalifornia | $59.39 | $38.89 |
| Merced, CACalifornia | $59.39 | $38.89 |
| Modesto, CACalifornia | $59.39 | $38.89 |
| Napa, CACalifornia | $66.17 | $41.52 |
| Oxnard, CACalifornia | $62.00 | $39.89 |
| Redding, CACalifornia | $59.39 | $38.89 |
| Rest of CaliforniaCalifornia | $59.39 | $38.89 |
| Riverside, CACalifornia | $60.05 | $39.55 |
| Sacramento, CACalifornia | $61.61 | $39.86 |
| Salinas, CACalifornia | $61.36 | $39.68 |
| San Diego, CACalifornia | $62.24 | $39.87 |
| Marin County, CACalifornia | $69.31 | $42.94 |
| San Francisco, CACalifornia | $69.25 | $42.87 |
| San Benito County, CACalifornia | $70.71 | $43.74 |
| Santa Clara County, CACalifornia | $70.44 | $43.46 |
| San Luis Obispo, CACalifornia | $60.44 | $39.13 |
| Santa Cruz, CACalifornia | $62.41 | $39.69 |
| Santa Maria, CACalifornia | $61.44 | $39.63 |
| Santa Rosa, CACalifornia | $63.01 | $40.04 |
| Stockton, CACalifornia | $59.39 | $38.89 |
| Vallejo, CACalifornia | $66.08 | $41.42 |
| Visalia, CACalifornia | $59.39 | $38.89 |
| Yuba City, CACalifornia | $59.39 | $38.89 |
| ColoradoColorado | $58.94 | $39.04 |
| ConnecticutConnecticut | $60.37 | $40.22 |
| DelawareDelaware | $57.11 | $38.63 |
| Fort Lauderdale, FLFlorida | $59.39 | $40.44 |
| Rest of FloridaFlorida | $57.38 | $39.50 |
| Atlanta, GAGeorgia | $58.34 | $39.33 |
| Rest of GeorgiaGeorgia | $55.20 | $38.52 |
| Hawaii, Guam, HIHawaii | $59.95 | $38.68 |
| IowaIowa | $54.17 | $37.05 |
| IdahoIdaho | $54.44 | $37.23 |
| East St. Louis, ILIllinois | $57.53 | $40.32 |
| Rest of IllinoisIllinois | $56.46 | $39.38 |
| Suburban Chicago, ILIllinois | $59.87 | $40.66 |
| IndianaIndiana | $54.64 | $37.30 |
| KansasKansas | $54.11 | $37.21 |
| KentuckyKentucky | $54.57 | $37.94 |
| New Orleans, LALouisiana | $56.28 | $38.68 |
| Rest of LouisianaLouisiana | $54.56 | $38.01 |
| Metropolitan Boston, MAMassachusetts | $63.23 | $40.90 |
| Rest of MassachusettsMassachusetts | $58.83 | $39.14 |
| Baltimore area, MDMaryland | $60.20 | $40.13 |
| Rest of MarylandMaryland | $57.89 | $38.96 |
| Rest of MaineMaine | $54.74 | $37.53 |
| Southern Maine, MEMaine | $56.49 | $37.95 |
| Detroit, MIMichigan | $57.97 | $39.92 |
| Rest of MichiganMichigan | $55.59 | $38.51 |
| MinnesotaMinnesota | $56.75 | $37.50 |
| Metropolitan Kansas City, MOMissouri | $55.92 | $38.35 |
| Metropolitan St. Louis, MOMissouri | $56.28 | $38.48 |
| Rest of MissouriMissouri | $54.03 | $37.91 |
| MississippiMississippi | $53.54 | $37.43 |
| North CarolinaNorth Carolina | $55.09 | $37.64 |
| North DakotaNorth Dakota | $56.26 | $37.55 |
| NebraskaNebraska | $54.33 | $37.06 |
| New HampshireNew Hampshire | $58.20 | $38.73 |
| Northern New JerseyNew Jersey | $63.44 | $41.75 |
| Rest of New JerseyNew Jersey | $61.13 | $40.70 |
| New MexicoNew Mexico | $55.83 | $38.68 |
| NevadaNevada | $57.14 | $38.42 |
| NYC suburbs and Long Island, NYNew York | $65.76 | $43.52 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $61.58 | $41.10 |
| Queens, NYNew York | $64.76 | $42.65 |
| Rest of New YorkNew York | $55.64 | $37.87 |
| OhioOhio | $55.34 | $38.27 |
| OklahomaOklahoma | $54.39 | $37.69 |
| Portland, OROregon | $60.14 | $39.36 |
| Rest of OregonOregon | $56.76 | $38.13 |
| Metropolitan Philadelphia, PAPennsylvania | $59.40 | $39.92 |
| Rest of PennsylvaniaPennsylvania | $55.34 | $38.17 |
| Puerto RicoPuerto Rico | $57.69 | $38.78 |
| Rhode IslandRhode Island | $58.63 | $39.31 |
| South CarolinaSouth Carolina | $55.30 | $38.01 |
| South DakotaSouth Dakota | $56.12 | $37.41 |
| TennesseeTennessee | $54.30 | $37.30 |
| Austin, TXTexas | $58.70 | $38.91 |
| Beaumont, TXTexas | $55.11 | $38.09 |
| Brazoria, TXTexas | $57.04 | $38.50 |
| Dallas, TXTexas | $57.35 | $38.72 |
| Fort Worth, TXTexas | $57.13 | $38.69 |
| Galveston, TXTexas | $57.18 | $38.61 |
| Houston, TXTexas | $58.28 | $39.71 |
| Rest of TexasTexas | $56.01 | $38.26 |
| UtahUtah | $55.78 | $38.20 |
| VirginiaVirginia | $56.45 | $38.06 |
| Virgin Islands, VIUnited States Virgin Islands | $57.69 | $38.78 |
| VermontVermont | $56.22 | $37.70 |
| Rest of WashingtonWashington | $58.67 | $38.97 |
| King County, WAWashington | $64.17 | $41.22 |
| WisconsinWisconsin | $55.04 | $37.12 |
| West VirginiaWest Virginia | $55.12 | $38.86 |
| WyomingWyoming | $56.93 | $38.22 |
99484 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$53.04
$73.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $73.67 | 1 |
| AL | $53.53 | 1 |
| AR | $53.04 | 1 |
| AZ | $56.41 | 1 |
| CA | $59.39–$70.71 | 29 |
| CO | $58.94 | 1 |
| CT | $60.37 | 1 |
| DC | $63.69 | 1 |
| DE | $57.11 | 1 |
| FL | $57.38–$61.51 | 3 |
| GA | $55.20–$58.34 | 2 |
| GU | $59.95 | 1 |
| HI | $59.95 | 1 |
| IA | $54.17 | 1 |
| ID | $54.44 | 1 |
| IL | $56.46–$60.38 | 4 |
| IN | $54.64 | 1 |
| KS | $54.11 | 1 |
| KY | $54.57 | 1 |
| LA | $54.56–$56.28 | 2 |
| MA | $58.83–$63.23 | 2 |
| MD | $57.89–$63.69 | 3 |
| ME | $54.74–$56.49 | 2 |
| MI | $55.59–$57.97 | 2 |
| MN | $56.75 | 1 |
| MO | $54.03–$56.28 | 3 |
| MS | $53.54 | 1 |
| MT | $57.45 | 1 |
| NC | $55.09 | 1 |
| ND | $56.26 | 1 |
| NE | $54.33 | 1 |
| NH | $58.20 | 1 |
| NJ | $61.13–$63.44 | 2 |
| NM | $55.83 | 1 |
| NV | $57.14 | 1 |
| NY | $55.64–$65.76 | 5 |
| OH | $55.34 | 1 |
| OK | $54.39 | 1 |
| OR | $56.76–$60.14 | 2 |
| PA | $55.34–$59.40 | 2 |
| PR | $57.69 | 1 |
| RI | $58.63 | 1 |
| SC | $55.30 | 1 |
| SD | $56.12 | 1 |
| TN | $54.30 | 1 |
| TX | $55.11–$58.70 | 8 |
| UT | $55.78 | 1 |
| VA | $56.45–$63.69 | 2 |
| VI | $57.69 | 1 |
| VT | $56.22 | 1 |
| WA | $58.67–$64.17 | 2 |
| WI | $55.04 | 1 |
| WV | $55.12 | 1 |
| WY | $56.93 | 1 |
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,149
- Code
- 99484
- Physician work
- 0.93
- Practice expense
- 0.73
- Malpractice
- 0.06
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.93 | × 1.000 | 0.9300 |
| Practice expense | 0.73 | × 1.000 | 0.7300 |
| Malpractice | 0.06 | × 0.998 | 0.0599 |
| Total RVUs | 1.7199 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$57.45
Office: (0.93 × 1 + 0.73 × 1 + 0.06 × 0.998) × $33.4009 = $57.45
Facility: (0.93 × 1 + 0.17 × 1 + 0.06 × 0.998) × $33.4009 = $38.74
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.
How 99484 has changed in Montana
99484 · Office / nonfacility
$57.45
Effective 2026-10-01
The base rate is $4.44 higher than on 2025-10-01, moving from $53.01 to $57.45 (8.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$53.01changed to$57.45
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.66 changed to 0.73
- Malpractice RVU 0.05 changed to 0.06
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$54.88changed to$53.01
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$53.98changed to$54.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$43.01changed to$53.98
- Conversion factor 33.8872 changed to 32.7442
- Work RVU 0.61 changed to 0.93
- Practice expense RVU 0.62 changed to 0.66
- Malpractice RVU 0.04 changed to 0.06
January 1, 2023
RVU23A
$44.61changed to$43.01
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.64 changed to 0.62
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$46.72changed to$44.61
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.69 changed to 0.64
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$48.55changed to$46.72
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.67 changed to 0.69
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$49.56changed to$48.55
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.70 changed to 0.67
- Malpractice RVU 0.04 changed to 0.05
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$49.51changed to$49.56
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$49.51
Held through RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $57.45 | $38.74 | RVU26D |
| 2026-07-01 | $57.45 | $38.74 | RVU26C |
| 2026-04-01 | $57.45 | $38.74 | RVU26B |
| 2026-01-01 | $57.45 | $38.74 | RVU26A |
| 2025-10-01 | $53.01 | $41.37 | RVU25D |
| 2025-07-01 | $53.01 | $41.37 | RVU25C |
| 2025-04-01 | $53.01 | $41.37 | RVU25B |
| 2025-01-01 | $53.01 | $41.37 | RVU25A |
| 2024-10-01 | $54.88 | $43.56 | RVU24D |
| 2024-07-01 | $54.88 | $43.56 | RVU24C |
| 2024-04-01 | $54.88 | $43.56 | RVU24B |
| 2024-03-09 | $54.88 | $43.56 | RVU24AR |
| 2024-01-01 | $53.98 | $42.85 | RVU24A |
| 2023-10-01 | $43.01 | $29.45 | RVU23D |
| 2023-07-01 | $43.01 | $29.45 | RVU23C |
| 2023-04-01 | $43.01 | $29.45 | RVU23B |
| 2023-01-01 | $43.01 | $29.45 | RVU23A |
| 2022-10-01 | $44.61 | $30.42 | RVU22D |
| 2022-07-01 | $44.61 | $30.42 | RVU22C |
| 2022-04-01 | $44.61 | $30.42 | RVU22B |
| 2022-01-01 | $44.61 | $30.42 | RVU22A |
| 2021-10-01 | $46.72 | $30.67 | RVU21D |
| 2021-07-01 | $46.72 | $30.67 | RVU21C |
| 2021-04-01 | $46.72 | $30.67 | RVU21B |
| 2021-01-01 | $46.72 | $30.67 | RVU21A |
| 2020-10-01 | $48.55 | $33.39 | RVU20D |
| 2020-07-01 | $48.55 | $33.39 | RVU20C |
| 2020-04-01 | $48.55 | $33.39 | RVU20B |
| 2020-01-01 | $48.55 | $33.39 | RVU20A |
| 2019-10-01 | $49.56 | $33.71 | RVU19D |
| 2019-07-01 | $49.56 | $33.71 | RVU19C |
| 2019-04-01 | $49.56 | $33.71 | RVU19B |
| 2019-01-01 | $49.56 | $33.71 | RVU19A |
| 2018-10-01 | $49.51 | $33.67 | RVU18D |
| 2018-07-01 | $49.51 | $33.67 | RVU18C |
| 2018-04-01 | $49.51 | $33.67 | RVU18B |
| 2018-01-01 | $49.51 | $33.67 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
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