CPT code 99493: Collaborative care, subsequent month2026 Medicare rate & RVUs in Ohio
Reports a subsequent month of structured psychiatric collaborative care management for a patient receiving coordinated behavioral health treatment in primary care.
In Ohio, Medicare pays $138.75 for 99493 in the office and $88.13 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99493 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 99493 covers
A behavioral health care manager coordinates ongoing treatment for a patient with a behavioral health condition, commonly depression or anxiety, in a primary care setting. The work may include patient outreach, tracking symptoms with validated measures, updating the care plan, and coordinating with the treating clinician. A psychiatric consultant reviews the caseload and advises the treating clinician; the consultant does not necessarily meet with the patient.
Report 99493 for the qualifying collaborative care management service in a subsequent calendar month, after the initial month represented by 99492. Documentation should show the care plan, ongoing monitoring and coordination, team consultation, and the care manager’s qualifying work and time for that month. The code represents a structured, team-based service rather than a psychotherapy visit. When the service extends beyond the time represented by 99493, 99494 may be relevant for additional qualifying time.
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 Ohio compares for 99493
Across 109 of 109 payment localities, the office rate for 99493 runs from $132.57 in Arkansas to $182.06 in San Benito County, CA. Ohio pays $138.75. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$138.75
- Los Angeles, CA · California$159.34+$20.59
- Washington, DC area · District of Columbia$161.97+$23.22
- Miami, FL · Florida$155.05+$16.30
- Chicago, IL · Illinois$151.85+$13.10
- Manhattan, NY · New York$163.72+$24.97
- Alaska · Alaska$181.76+$43.01
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $133.95 | $85.44 |
| ArkansasArkansas | $132.57 | $84.94 |
| ArizonaArizona | $142.06 | $88.33 |
| Bakersfield, CACalifornia | $151.33 | $90.56 |
| Chico, CACalifornia | $150.85 | $90.08 |
| El Centro, CACalifornia | $150.87 | $90.10 |
| Fresno, CACalifornia | $150.85 | $90.08 |
| Hanford, CACalifornia | $150.85 | $90.08 |
| Madera, CACalifornia | $150.85 | $90.08 |
| Merced, CACalifornia | $150.85 | $90.08 |
| Modesto, CACalifornia | $150.85 | $90.08 |
| Napa, CACalifornia | $169.81 | $96.73 |
| Oxnard, CACalifornia | $158.18 | $92.65 |
| Redding, CACalifornia | $150.85 | $90.08 |
| Rest of CaliforniaCalifornia | $150.85 | $90.08 |
| Riverside, CACalifornia | $152.40 | $91.63 |
| Sacramento, CACalifornia | $156.96 | $92.48 |
| Salinas, CACalifornia | $156.33 | $92.07 |
| San Diego, CACalifornia | $158.95 | $92.63 |
| Marin County, CACalifornia | $178.38 | $100.20 |
| San Francisco, CACalifornia | $178.22 | $100.04 |
| San Benito County, CACalifornia | $182.06 | $102.11 |
| Santa Clara County, CACalifornia | $181.41 | $101.46 |
| San Luis Obispo, CACalifornia | $153.94 | $90.78 |
| Santa Cruz, CACalifornia | $159.67 | $92.30 |
| Santa Maria, CACalifornia | $156.63 | $91.98 |
| Santa Rosa, CACalifornia | $161.22 | $93.13 |
| Stockton, CACalifornia | $150.85 | $90.08 |
| Vallejo, CACalifornia | $169.58 | $96.50 |
| Visalia, CACalifornia | $150.85 | $90.08 |
| Yuba City, CACalifornia | $150.85 | $90.08 |
| ColoradoColorado | $149.35 | $90.36 |
| ConnecticutConnecticut | $152.84 | $93.13 |
| DelawareDelaware | $143.97 | $89.19 |
| Fort Lauderdale, FLFlorida | $149.67 | $93.51 |
| Rest of FloridaFlorida | $144.15 | $91.15 |
| Atlanta, GAGeorgia | $147.25 | $90.92 |
| Rest of GeorgiaGeorgia | $138.10 | $88.64 |
| Hawaii, Guam, HIHawaii | $152.83 | $89.79 |
| IowaIowa | $136.04 | $85.30 |
| IdahoIdaho | $136.75 | $85.74 |
| East St. Louis, ILIllinois | $143.96 | $92.95 |
| Rest of IllinoisIllinois | $141.34 | $90.72 |
| Suburban Chicago, ILIllinois | $150.99 | $94.05 |
| IndianaIndiana | $137.31 | $85.92 |
| KansasKansas | $135.75 | $85.62 |
| KentuckyKentucky | $136.59 | $87.30 |
| New Orleans, LALouisiana | $141.36 | $89.18 |
| Rest of LouisianaLouisiana | $136.51 | $87.44 |
| Metropolitan Boston, MAMassachusetts | $161.18 | $94.98 |
| Rest of MassachusettsMassachusetts | $148.91 | $90.53 |
| Baltimore area, MDMaryland | $152.41 | $92.91 |
| Rest of MarylandMaryland | $146.12 | $90.01 |
| Rest of MaineMaine | $137.45 | $86.44 |
| Southern Maine, MEMaine | $142.59 | $87.64 |
| Detroit, MIMichigan | $145.65 | $92.15 |
| Rest of MichiganMichigan | $139.32 | $88.69 |
| MinnesotaMinnesota | $143.75 | $86.70 |
| Metropolitan Kansas City, MOMissouri | $140.47 | $88.41 |
| Metropolitan St. Louis, MOMissouri | $141.52 | $88.74 |
| Rest of MissouriMissouri | $134.93 | $87.13 |
| MississippiMississippi | $133.76 | $86.02 |
| MontanaMontana | $144.95 | $89.51 |
| North CarolinaNorth Carolina | $138.46 | $86.73 |
| North DakotaNorth Dakota | $142.18 | $86.74 |
| NebraskaNebraska | $136.52 | $85.35 |
| New HampshireNew Hampshire | $147.32 | $89.60 |
| Northern New JerseyNew Jersey | $161.08 | $96.76 |
| Rest of New JerseyNew Jersey | $154.76 | $94.21 |
| New MexicoNew Mexico | $139.94 | $89.10 |
| NevadaNevada | $144.25 | $88.75 |
| NYC suburbs and Long Island, NYNew York | $166.92 | $101.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $155.85 | $95.13 |
| Queens, NYNew York | $164.48 | $98.94 |
| Rest of New YorkNew York | $139.98 | $87.31 |
| OklahomaOklahoma | $136.23 | $86.72 |
| Portland, OROregon | $152.83 | $91.23 |
| Rest of OregonOregon | $143.28 | $88.06 |
| Metropolitan Philadelphia, PAPennsylvania | $150.04 | $92.32 |
| Rest of PennsylvaniaPennsylvania | $138.81 | $87.92 |
| Puerto RicoPuerto Rico | $145.68 | $89.62 |
| Rhode IslandRhode Island | $148.13 | $90.85 |
| South CarolinaSouth Carolina | $138.80 | $87.57 |
| South DakotaSouth Dakota | $141.85 | $86.41 |
| TennesseeTennessee | $136.26 | $85.86 |
| Austin, TXTexas | $148.73 | $90.07 |
| Beaumont, TXTexas | $138.16 | $87.71 |
| Brazoria, TXTexas | $143.83 | $88.89 |
| Dallas, TXTexas | $144.62 | $89.40 |
| Fort Worth, TXTexas | $143.97 | $89.30 |
| Galveston, TXTexas | $144.20 | $89.14 |
| Houston, TXTexas | $146.76 | $91.71 |
| Rest of TexasTexas | $140.84 | $88.23 |
| UtahUtah | $140.17 | $88.06 |
| VirginiaVirginia | $142.36 | $87.86 |
| Virgin Islands, VIUnited States Virgin Islands | $145.68 | $89.62 |
| VermontVermont | $141.93 | $87.04 |
| Rest of WashingtonWashington | $148.54 | $90.15 |
| King County, WAWashington | $163.83 | $95.80 |
| WisconsinWisconsin | $138.71 | $85.59 |
| West VirginiaWest Virginia | $137.57 | $89.39 |
| WyomingWyoming | $143.74 | $88.30 |
99493 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.
$132.57
$181.76
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 | $181.76 | 1 |
| AL | $133.95 | 1 |
| AR | $132.57 | 1 |
| AZ | $142.06 | 1 |
| CA | $150.85–$182.06 | 29 |
| CO | $149.35 | 1 |
| CT | $152.84 | 1 |
| DC | $161.97 | 1 |
| DE | $143.97 | 1 |
| FL | $144.15–$155.05 | 3 |
| GA | $138.10–$147.25 | 2 |
| GU | $152.83 | 1 |
| HI | $152.83 | 1 |
| IA | $136.04 | 1 |
| ID | $136.75 | 1 |
| IL | $141.34–$151.85 | 4 |
| IN | $137.31 | 1 |
| KS | $135.75 | 1 |
| KY | $136.59 | 1 |
| LA | $136.51–$141.36 | 2 |
| MA | $148.91–$161.18 | 2 |
| MD | $146.12–$161.97 | 3 |
| ME | $137.45–$142.59 | 2 |
| MI | $139.32–$145.65 | 2 |
| MN | $143.75 | 1 |
| MO | $134.93–$141.52 | 3 |
| MS | $133.76 | 1 |
| MT | $144.95 | 1 |
| NC | $138.46 | 1 |
| ND | $142.18 | 1 |
| NE | $136.52 | 1 |
| NH | $147.32 | 1 |
| NJ | $154.76–$161.08 | 2 |
| NM | $139.94 | 1 |
| NV | $144.25 | 1 |
| NY | $139.98–$166.92 | 5 |
| OH | $138.75 | 1 |
| OK | $136.23 | 1 |
| OR | $143.28–$152.83 | 2 |
| PA | $138.81–$150.04 | 2 |
| PR | $145.68 | 1 |
| RI | $148.13 | 1 |
| SC | $138.80 | 1 |
| SD | $141.85 | 1 |
| TN | $136.26 | 1 |
| TX | $138.16–$148.73 | 8 |
| UT | $140.17 | 1 |
| VA | $142.36–$161.97 | 2 |
| VI | $145.68 | 1 |
| VT | $141.93 | 1 |
| WA | $148.54–$163.83 | 2 |
| WI | $138.71 | 1 |
| WV | $137.57 | 1 |
| WY | $143.74 | 1 |
How the 99493 rate is calculated
Each of 99493’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 · 99493
RVUs × geographic indexes × conversion factor
Work2.05
2.05 RVUs× 1.000 GPCI
Practice expense2.15
2.15 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
4.3400
Conversion factor
$33.4009
Medicare rate
$144.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Ohio inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,157
- Code
- 99493
- Physician work
- 2.05
- Practice expense
- 2.15
- Malpractice
- 0.14
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.000 | 2.0500 |
| Practice expense | 2.15 | × 0.913 | 1.9629 |
| Malpractice | 0.14 | × 1.008 | 0.1411 |
| Total RVUs | 4.1541 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Ohio$138.75
Office: (2.05 × 1 + 2.15 × 0.913 + 0.14 × 1.008) × $33.4009 = $138.75
Facility: (2.05 × 1 + 0.49 × 0.913 + 0.14 × 1.008) × $33.4009 = $88.13
Payment rules and modifiers for 99493
99493 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 · 99493
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$144.96
- Non-facility (office)
- $144.96
- Facility
- $89.51
Higher because the practice carries its own overhead.
How 99493 has changed in Ohio
99493 · Office / nonfacility
$138.75
Effective 2026-10-01
The base rate is $10.55 higher than on 2025-10-01, moving from $128.20 to $138.75 (8.2%).
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
$128.20changed to$138.75
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.93 changed to 2.15
- Malpractice RVU 0.15 changed to 0.14
- Practice expense GPCI 0.911 changed to 0.913
- Malpractice GPCI 1.033 changed to 1.008
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$134.01changed to$128.20
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.01 changed to 1.93
- Malpractice RVU 0.14 changed to 0.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$131.82changed to$134.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$136.84changed to$131.82
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.04 changed to 2.01
- Malpractice RVU 0.12 changed to 0.14
- Practice expense GPCI 0.912 changed to 0.911
- Malpractice GPCI 1.063 changed to 1.033
January 1, 2023
RVU23A
$142.78changed to$136.84
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.13 changed to 2.04
- Practice expense GPCI 0.913 changed to 0.912
- Malpractice GPCI 1.094 changed to 1.063
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$147.85changed to$142.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.24 changed to 2.13
- Malpractice RVU 0.13 changed to 0.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$120.71changed to$147.85
- Conversion factor 36.0896 changed to 34.8931
- Work RVU 1.53 changed to 2.05
- Practice expense RVU 1.88 changed to 2.24
- Malpractice RVU 0.09 changed to 0.13
- Practice expense GPCI 0.915 changed to 0.913
- Malpractice GPCI 1.049 changed to 1.094
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$123.54changed to$120.71
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.96 changed to 1.88
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 0.917 changed to 0.915
- Malpractice GPCI 1.005 changed to 1.049
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$123.07changed to$123.54
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.95 changed to 1.96
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$123.07
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 | $138.75 | $88.13 | RVU26D |
| 2026-07-01 | $138.75 | $88.13 | RVU26C |
| 2026-04-01 | $138.75 | $88.13 | RVU26B |
| 2026-01-01 | $138.75 | $88.13 | RVU26A |
| 2025-10-01 | $128.20 | $96.66 | RVU25D |
| 2025-07-01 | $128.20 | $96.66 | RVU25C |
| 2025-04-01 | $128.20 | $96.66 | RVU25B |
| 2025-01-01 | $128.20 | $96.66 | RVU25A |
| 2024-10-01 | $134.01 | $99.13 | RVU24D |
| 2024-07-01 | $134.01 | $99.13 | RVU24C |
| 2024-04-01 | $134.01 | $99.13 | RVU24B |
| 2024-03-09 | $134.01 | $99.13 | RVU24AR |
| 2024-01-01 | $131.82 | $97.51 | RVU24A |
| 2023-10-01 | $136.84 | $99.13 | RVU23D |
| 2023-07-01 | $136.84 | $99.13 | RVU23C |
| 2023-04-01 | $136.84 | $99.13 | RVU23B |
| 2023-01-01 | $136.84 | $99.13 | RVU23A |
| 2022-10-01 | $142.78 | $101.39 | RVU22D |
| 2022-07-01 | $142.78 | $101.39 | RVU22C |
| 2022-04-01 | $142.78 | $101.39 | RVU22B |
| 2022-01-01 | $142.78 | $101.39 | RVU22A |
| 2021-10-01 | $147.85 | $100.70 | RVU21D |
| 2021-07-01 | $147.85 | $100.70 | RVU21C |
| 2021-04-01 | $147.85 | $100.70 | RVU21B |
| 2021-01-01 | $147.85 | $100.70 | RVU21A |
| 2020-10-01 | $120.71 | $79.43 | RVU20D |
| 2020-07-01 | $120.71 | $79.43 | RVU20C |
| 2020-04-01 | $120.71 | $79.43 | RVU20B |
| 2020-01-01 | $120.71 | $79.43 | RVU20A |
| 2019-10-01 | $123.54 | $79.91 | RVU19D |
| 2019-07-01 | $123.54 | $79.91 | RVU19C |
| 2019-04-01 | $123.54 | $79.91 | RVU19B |
| 2019-01-01 | $123.54 | $79.91 | RVU19A |
| 2018-10-01 | $123.07 | $79.82 | RVU18D |
| 2018-07-01 | $123.07 | $79.82 | RVU18C |
| 2018-04-01 | $123.07 | $79.82 | RVU18B |
| 2018-01-01 | $123.07 | $79.82 | 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 Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Ada
- Adamsville
- Addyston
- Adelphi
- Adena
- Ai
- Akron
99493 billing questions
When should the practice use 99493 instead of 99492?
Use 99493 for a subsequent calendar month of psychiatric collaborative care management. The initial month is represented by 99492.
Does a psychiatrist have to see the patient?
No. The psychiatric consultant may review the caseload and provide recommendations to the treating clinician without a direct patient visit.
What documentation supports 99493?
Document the behavioral health care plan, symptom monitoring, outreach or coordination, team consultation, and qualifying care management work and time during the month.
Can 99494 be reported with 99493?
99494 may be reported for additional qualifying psychiatric collaborative care management time beyond the time represented by 99493. The record should support the additional work and time.
Is 99493 a psychotherapy session?
No. It represents ongoing team-based care management, such as measurement-based follow-up and coordination, rather than a standalone psychotherapy service.
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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