CPT code 99492: Psychiatric care management, initial month, first 70 minutes2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $180.77 for 99492 in the office and $88.70 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99492 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99492 covers

99492 captures the initial calendar month of psychiatric collaborative care management for a patient receiving structured behavioral health treatment through a treating clinician. A behavioral health care manager, often a social worker, nurse, or other trained professional, works under the treating clinician’s direction with a psychiatric consultant. Services can include structured assessment, a measurement-based care plan, symptom tracking in a patient registry, brief evidence-based interventions, and psychiatric consultant review to guide treatment adjustments.

Report 99492 when qualifying behavioral health care manager activities total at least 70 minutes during the initial calendar month. Count the service time, not elapsed enrollment time. Documentation should identify the care manager and treating clinician, record the activities and time, and support the assessment, care plan, symptom monitoring, and consultant involvement. For subsequent calendar months, use 99493 when its time requirement is met; 99494 describes additional qualifying time reported with the applicable primary monthly code.

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 Washington, DC area compares for 99492

Across 109 of 109 payment localities, the office rate for 99492 runs from $144.96 in Arkansas to $206.10 in San Benito County, CA. Washington, DC area pays $180.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99492 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 99492 in every payment locality

How the 99492 rate is calculated

Each of 99492’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.

Payment rules and modifiers for 99492

99492 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.

Codes related to 99492

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99492 has changed in Washington, DC area

Price 99492 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates