CPT code 99494: Psychiatric collaborative care, each additional 30 minutes2026 Medicare rate & RVUs in New Mexico
Reports additional monthly time for psychiatric collaborative care management beyond the base service, with work by the care manager and psychiatric consultant.
In New Mexico, Medicare pays $59.20 for 99494 in the office and $35.92 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99494 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 99494 covers
This add-on captures additional time spent delivering psychiatric collaborative care management during a calendar month. The work typically involves a behavioral health care manager coordinating with a psychiatric consultant and the treating physician or other qualified health care professional. Activities may include patient outreach, tracking symptoms with measurement-based tools, reviewing cases with the consultant, and communicating treatment recommendations. These services commonly support patients receiving primary care for depression or another behavioral health condition.
Report 99494 only with the applicable base service: 99492 for the initial month or 99493 for a subsequent month. The record should support the additional time and the collaborative care activities performed during that month, including care-manager and psychiatric-consultant involvement. CMS treats this as an add-on code: it must be billed with a primary procedure and is paid within that procedure's global period.
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 New Mexico compares for 99494
Across 109 of 109 payment localities, the office rate for 99494 runs from $55.96 in Arkansas to $77.71 in San Benito County, CA. New Mexico pays $59.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$59.20
- Los Angeles, CA · California$67.78+$8.58
- Washington, DC area · District of Columbia$68.87+$9.67
- Miami, FL · Florida$65.84+$6.64
- Chicago, IL · Illinois$64.40+$5.20
- Manhattan, NY · New York$69.58+$10.38
- Alaska · Alaska$76.34+$17.14
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $56.58 | $34.37 |
| ArkansasArkansas | $55.96 | $34.16 |
| ArizonaArizona | $60.18 | $35.58 |
| Bakersfield, CACalifornia | $64.27 | $36.45 |
| Chico, CACalifornia | $64.07 | $36.25 |
| El Centro, CACalifornia | $64.08 | $36.26 |
| Fresno, CACalifornia | $64.07 | $36.25 |
| Hanford, CACalifornia | $64.07 | $36.25 |
| Madera, CACalifornia | $64.07 | $36.25 |
| Merced, CACalifornia | $64.07 | $36.25 |
| Modesto, CACalifornia | $64.07 | $36.25 |
| Napa, CACalifornia | $72.39 | $38.94 |
| Oxnard, CACalifornia | $67.30 | $37.30 |
| Redding, CACalifornia | $64.07 | $36.25 |
| Rest of CaliforniaCalifornia | $64.07 | $36.25 |
| Riverside, CACalifornia | $64.73 | $36.91 |
| Sacramento, CACalifornia | $66.74 | $37.22 |
| Salinas, CACalifornia | $66.48 | $37.05 |
| San Diego, CACalifornia | $67.65 | $37.29 |
| Marin County, CACalifornia | $76.12 | $40.33 |
| San Francisco, CACalifornia | $76.05 | $40.26 |
| San Benito County, CACalifornia | $77.71 | $41.11 |
| Santa Clara County, CACalifornia | $77.43 | $40.83 |
| San Luis Obispo, CACalifornia | $65.45 | $36.54 |
| Santa Cruz, CACalifornia | $68.00 | $37.15 |
| Santa Maria, CACalifornia | $66.62 | $37.02 |
| Santa Rosa, CACalifornia | $68.66 | $37.49 |
| Stockton, CACalifornia | $64.07 | $36.25 |
| Vallejo, CACalifornia | $72.30 | $38.84 |
| Visalia, CACalifornia | $64.07 | $36.25 |
| Yuba City, CACalifornia | $64.07 | $36.25 |
| ColoradoColorado | $63.40 | $36.39 |
| ConnecticutConnecticut | $64.90 | $37.56 |
| DelawareDelaware | $61.01 | $35.93 |
| Fort Lauderdale, FLFlorida | $63.49 | $37.78 |
| Rest of FloridaFlorida | $61.05 | $36.79 |
| Atlanta, GAGeorgia | $62.46 | $36.66 |
| Rest of GeorgiaGeorgia | $58.38 | $35.74 |
| Hawaii, Guam, HIHawaii | $65.01 | $36.14 |
| IowaIowa | $57.52 | $34.30 |
| IdahoIdaho | $57.84 | $34.48 |
| East St. Louis, ILIllinois | $60.92 | $37.57 |
| Rest of IllinoisIllinois | $59.80 | $36.62 |
| Suburban Chicago, ILIllinois | $64.06 | $37.99 |
| IndianaIndiana | $58.09 | $34.56 |
| KansasKansas | $57.39 | $34.44 |
| KentuckyKentucky | $57.73 | $35.16 |
| New Orleans, LALouisiana | $59.84 | $35.95 |
| Rest of LouisianaLouisiana | $57.69 | $35.22 |
| Metropolitan Boston, MAMassachusetts | $68.58 | $38.27 |
| Rest of MassachusettsMassachusetts | $63.19 | $36.46 |
| Baltimore area, MDMaryland | $64.71 | $37.47 |
| Rest of MarylandMaryland | $61.95 | $36.26 |
| Rest of MaineMaine | $58.13 | $34.78 |
| Southern Maine, MEMaine | $60.43 | $35.27 |
| Detroit, MIMichigan | $61.71 | $37.21 |
| Rest of MichiganMichigan | $58.93 | $35.75 |
| MinnesotaMinnesota | $60.98 | $34.86 |
| Metropolitan Kansas City, MOMissouri | $59.46 | $35.62 |
| Metropolitan St. Louis, MOMissouri | $59.92 | $35.76 |
| Rest of MissouriMissouri | $56.98 | $35.10 |
| MississippiMississippi | $56.48 | $34.62 |
| MontanaMontana | $61.45 | $36.07 |
| North CarolinaNorth Carolina | $58.59 | $34.90 |
| North DakotaNorth Dakota | $60.27 | $34.88 |
| NebraskaNebraska | $57.74 | $34.31 |
| New HampshireNew Hampshire | $62.52 | $36.10 |
| Northern New JerseyNew Jersey | $68.45 | $39.00 |
| Rest of New JerseyNew Jersey | $65.70 | $37.98 |
| NevadaNevada | $61.16 | $35.74 |
| NYC suburbs and Long Island, NYNew York | $70.99 | $40.81 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $66.16 | $38.36 |
| Queens, NYNew York | $69.93 | $39.93 |
| Rest of New YorkNew York | $59.26 | $35.14 |
| OhioOhio | $58.68 | $35.51 |
| OklahomaOklahoma | $57.58 | $34.91 |
| Portland, OROregon | $64.94 | $36.74 |
| Rest of OregonOregon | $60.73 | $35.45 |
| Metropolitan Philadelphia, PAPennsylvania | $63.65 | $37.23 |
| Rest of PennsylvaniaPennsylvania | $58.72 | $35.41 |
| Puerto RicoPuerto Rico | $61.78 | $36.12 |
| Rhode IslandRhode Island | $62.82 | $36.60 |
| South CarolinaSouth Carolina | $58.72 | $35.26 |
| South DakotaSouth Dakota | $60.13 | $34.74 |
| TennesseeTennessee | $57.61 | $34.54 |
| Austin, TXTexas | $63.14 | $36.29 |
| Beaumont, TXTexas | $58.43 | $35.33 |
| Brazoria, TXTexas | $60.95 | $35.79 |
| Dallas, TXTexas | $61.29 | $36.01 |
| Fort Worth, TXTexas | $61.00 | $35.97 |
| Galveston, TXTexas | $61.11 | $35.90 |
| Houston, TXTexas | $62.21 | $37.00 |
| Rest of TexasTexas | $59.63 | $35.54 |
| UtahUtah | $59.33 | $35.47 |
| VirginiaVirginia | $60.32 | $35.37 |
| Virgin Islands, VIUnited States Virgin Islands | $61.78 | $36.12 |
| VermontVermont | $60.15 | $35.02 |
| Rest of WashingtonWashington | $63.03 | $36.30 |
| King County, WAWashington | $69.74 | $38.59 |
| WisconsinWisconsin | $58.72 | $34.41 |
| West VirginiaWest Virginia | $58.12 | $36.06 |
| WyomingWyoming | $60.94 | $35.55 |
99494 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.
$55.96
$76.34
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 | $76.34 | 1 |
| AL | $56.58 | 1 |
| AR | $55.96 | 1 |
| AZ | $60.18 | 1 |
| CA | $64.07–$77.71 | 29 |
| CO | $63.40 | 1 |
| CT | $64.90 | 1 |
| DC | $68.87 | 1 |
| DE | $61.01 | 1 |
| FL | $61.05–$65.84 | 3 |
| GA | $58.38–$62.46 | 2 |
| GU | $65.01 | 1 |
| HI | $65.01 | 1 |
| IA | $57.52 | 1 |
| ID | $57.84 | 1 |
| IL | $59.80–$64.40 | 4 |
| IN | $58.09 | 1 |
| KS | $57.39 | 1 |
| KY | $57.73 | 1 |
| LA | $57.69–$59.84 | 2 |
| MA | $63.19–$68.58 | 2 |
| MD | $61.95–$68.87 | 3 |
| ME | $58.13–$60.43 | 2 |
| MI | $58.93–$61.71 | 2 |
| MN | $60.98 | 1 |
| MO | $56.98–$59.92 | 3 |
| MS | $56.48 | 1 |
| MT | $61.45 | 1 |
| NC | $58.59 | 1 |
| ND | $60.27 | 1 |
| NE | $57.74 | 1 |
| NH | $62.52 | 1 |
| NJ | $65.70–$68.45 | 2 |
| NM | $59.20 | 1 |
| NV | $61.16 | 1 |
| NY | $59.26–$70.99 | 5 |
| OH | $58.68 | 1 |
| OK | $57.58 | 1 |
| OR | $60.73–$64.94 | 2 |
| PA | $58.72–$63.65 | 2 |
| PR | $61.78 | 1 |
| RI | $62.82 | 1 |
| SC | $58.72 | 1 |
| SD | $60.13 | 1 |
| TN | $57.61 | 1 |
| TX | $58.43–$63.14 | 8 |
| UT | $59.33 | 1 |
| VA | $60.32–$68.87 | 2 |
| VI | $61.78 | 1 |
| VT | $60.15 | 1 |
| WA | $63.03–$69.74 | 2 |
| WI | $58.72 | 1 |
| WV | $58.12 | 1 |
| WY | $60.94 | 1 |
How the 99494 rate is calculated
Each of 99494’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 · 99494
RVUs × geographic indexes × conversion factor
Work0.82
0.82 RVUs× 1.000 GPCI
Practice expense0.96
0.96 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.8400
Conversion factor
$33.4009
Medicare rate
$61.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,158
- Code
- 99494
- Physician work
- 0.82
- Practice expense
- 0.96
- Malpractice
- 0.06
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.82 | × 1.000 | 0.8200 |
| Practice expense | 0.96 | × 0.917 | 0.8803 |
| Malpractice | 0.06 | × 1.201 | 0.0721 |
| Total RVUs | 1.7724 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$59.20
Office: (0.82 × 1 + 0.96 × 0.917 + 0.06 × 1.201) × $33.4009 = $59.20
Facility: (0.82 × 1 + 0.2 × 0.917 + 0.06 × 1.201) × $33.4009 = $35.92
Payment rules and modifiers for 99494
The CMS indicators that decide how 99494 is paid alongside other services.
CMS payment indicators · 99494
Psychiatric collaborative care, each additional 30 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 99494 has changed in New Mexico
99494 · Office / nonfacility
$59.20
Effective 2026-10-01
The base rate is $5.61 higher than on 2025-10-01, moving from $53.59 to $59.20 (10.5%).
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
$53.59changed to$59.20
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.87 changed to 0.96
- Malpractice RVU 0.04 changed to 0.06
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$56.75changed to$53.59
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.91 changed to 0.87
- Malpractice RVU 0.05 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$55.82changed to$56.75
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$55.53changed to$55.82
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.83 changed to 0.91
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$60.47changed to$55.53
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.97 changed to 0.83
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$56.28changed to$60.47
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.82 changed to 0.97
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$61.26changed to$56.28
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.90 changed to 0.82
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$64.66changed to$61.26
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.99 changed to 0.90
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$64.26changed to$64.66
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.98 changed to 0.99
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$64.26
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 | $59.20 | $35.92 | RVU26D |
| 2026-07-01 | $59.20 | $35.92 | RVU26C |
| 2026-04-01 | $59.20 | $35.92 | RVU26B |
| 2026-01-01 | $59.20 | $35.92 | RVU26A |
| 2025-10-01 | $53.59 | $38.03 | RVU25D |
| 2025-07-01 | $53.59 | $38.03 | RVU25C |
| 2025-04-01 | $53.59 | $38.03 | RVU25B |
| 2025-01-01 | $53.59 | $38.03 | RVU25A |
| 2024-10-01 | $56.75 | $39.83 | RVU24D |
| 2024-07-01 | $56.75 | $39.83 | RVU24C |
| 2024-04-01 | $56.75 | $39.83 | RVU24B |
| 2024-03-09 | $56.75 | $39.83 | RVU24AR |
| 2024-01-01 | $55.82 | $39.18 | RVU24A |
| 2023-10-01 | $55.53 | $39.95 | RVU23D |
| 2023-07-01 | $55.53 | $39.95 | RVU23C |
| 2023-04-01 | $55.53 | $39.95 | RVU23B |
| 2023-01-01 | $55.53 | $39.95 | RVU23A |
| 2022-10-01 | $60.47 | $41.25 | RVU22D |
| 2022-07-01 | $60.47 | $41.25 | RVU22C |
| 2022-04-01 | $60.47 | $41.25 | RVU22B |
| 2022-01-01 | $60.47 | $41.25 | RVU22A |
| 2021-10-01 | $56.28 | $40.03 | RVU21D |
| 2021-07-01 | $56.28 | $40.03 | RVU21C |
| 2021-04-01 | $56.28 | $40.03 | RVU21B |
| 2021-01-01 | $56.28 | $40.03 | RVU21A |
| 2020-10-01 | $61.26 | $42.59 | RVU20D |
| 2020-07-01 | $61.26 | $42.59 | RVU20C |
| 2020-04-01 | $61.26 | $42.59 | RVU20B |
| 2020-01-01 | $61.26 | $42.59 | RVU20A |
| 2019-10-01 | $64.66 | $43.42 | RVU19D |
| 2019-07-01 | $64.66 | $43.42 | RVU19C |
| 2019-04-01 | $64.66 | $43.42 | RVU19B |
| 2019-01-01 | $64.66 | $43.42 | RVU19A |
| 2018-10-01 | $64.26 | $43.04 | RVU18D |
| 2018-07-01 | $64.26 | $43.04 | RVU18C |
| 2018-04-01 | $64.26 | $43.04 | RVU18B |
| 2018-01-01 | $64.26 | $43.04 | 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 New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
99494 billing questions
Which base code can be billed with 99494?
Report it with 99492 for the initial month of psychiatric collaborative care management or 99493 for a subsequent month. It is not a standalone service.
When is 99494 appropriate instead of 99493?
99493 is the base service for a subsequent month. Add 99494 when the documented collaborative care work extends beyond the time represented by that base service.
How should the additional time be documented?
Keep a monthly record supporting the additional time and the collaborative care activities, such as care-manager work, psychiatric-consultant case review, and coordination with the treating clinician.
Can 99494 be reported by itself?
No. CMS identifies it as an add-on code that must be submitted with a primary procedure and is paid within that procedure's global period.
How does 99494 differ from 99484?
99494 adds time to the psychiatric collaborative care model represented by 99492 or 99493. 99484 is a separate general behavioral health care management 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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