HCPCS G0568: Psychiatric care managementMedicare rate & RVUs
Reports intensive psychiatric care-management services for the initial calendar month when furnished with the required primary procedure.
Medicare pays $161.66 for G0568 nationally in the office and $81.83 in a hospital or facility. Local office rates run $146.00–$207.73.
Medicare rate · G0568
Psychiatric care management
Swap in your local Medicare rate.
- Work RVUs
- 1.88
- Total RVUs
- 4.84
- Global days
- ZZZ
National rate · 2026
$161.66
Office setting, before claim adjustments.
See every locality for G0568 → · Billed by an NP, PA or therapist? →
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 10 sections
What G0568 covers
G0568 represents intensive psychiatric care management during the initial calendar month. It covers month-level management activity for a patient receiving psychiatric care, rather than a single psychotherapy session or diagnostic interview. The work is furnished by the clinician or care team responsible for managing the patient’s psychiatric care. The code identifies the initial month; G0569 distinguishes subsequent months.
Report G0568 only with its required primary procedure; it is not a standalone service. Documentation should identify the initial calendar month, the psychiatric care-management work performed, and the associated primary procedure. CMS treats this as an add-on paid within the primary procedure’s global period, so the add-on payment is tied to that primary service’s global period. The descriptor specifies a calendar month, not a number of minutes; do not select it based on a time threshold.
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 G0568 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$146.00 to $207.73
109 of 109 payment localities
G0568 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$146.00
$196.91
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 | $196.91 | 1 |
| AL | $147.75 | 1 |
| AR | $146.00 | 1 |
| AZ | $158.03 | 1 |
| CA | $169.41–$207.73 | 29 |
| CO | $167.32 | 1 |
| CT | $171.20 | 1 |
| DC | $182.32 | 1 |
| DE | $160.34 | 1 |
| FL | $160.05–$173.17 | 3 |
| GA | $152.49–$164.36 | 2 |
| GU | $172.41 | 1 |
| HI | $172.41 | 1 |
| IA | $150.66 | 1 |
| ID | $151.51 | 1 |
| IL | $156.32–$169.06 | 4 |
| IN | $152.23 | 1 |
| KS | $150.17 | 1 |
| KY | $150.82 | 1 |
| LA | $150.66–$156.80 | 2 |
| MA | $166.62–$181.89 | 2 |
| MD | $163.00–$182.32 | 3 |
| ME | $152.26–$158.97 | 2 |
| MI | $154.14–$161.81 | 2 |
| MN | $160.86 | 1 |
| MO | $148.58–$157.17 | 3 |
| MS | $147.31 | 1 |
| MT | $161.65 | 1 |
| NC | $153.56 | 1 |
| ND | $158.68 | 1 |
| NE | $151.32 | 1 |
| NH | $164.88 | 1 |
| NJ | $173.29–$180.97 | 2 |
| NM | $154.88 | 1 |
| NV | $160.92 | 1 |
| NY | $155.48–$187.71 | 5 |
| OH | $153.53 | 1 |
| OK | $150.50 | 1 |
| OR | $159.80–$171.80 | 2 |
| PA | $153.69–$167.61 | 2 |
| PR | $162.62 | 1 |
| RI | $165.41 | 1 |
| SC | $153.78 | 1 |
| SD | $158.33 | 1 |
| TN | $150.80 | 1 |
| TX | $152.86–$166.66 | 8 |
| UT | $155.52 | 1 |
| VA | $158.59–$182.32 | 2 |
| VI | $162.62 | 1 |
| VT | $158.25 | 1 |
| WA | $166.25–$185.19 | 2 |
| WI | $154.25 | 1 |
| WV | $151.52 | 1 |
| WY | $160.36 | 1 |
How the G0568 rate is calculated
Each of G0568’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 · G0568
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.88Practice expense 2.81Malpractice 0.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0568
The CMS indicators that decide how G0568 is paid alongside other services.
CMS payment indicators · G0568
Psychiatric care management
| 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. |
G0568 compared with similar codes
Compare codes
G0568 vs G0569 vs 99492 vs 99493: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0569Psychiatric care management
- Use G0568 for the initial calendar month of intensive psychiatric care management; G0569 identifies a subsequent month.
- 99492Psychiatric care management
- 99492 describes initial-month psychiatric collaborative care management. G0568 is the intensive psychiatric care-management code and is reported as an add-on to a primary procedure.
- 99493Collaborative care
- 99493 describes subsequent-month psychiatric collaborative care management, while G0568 is for the initial calendar month and has add-on status.
G0568 billing questions
Can G0568 be billed by itself?
No. CMS identifies G0568 as an add-on that must be billed with a primary procedure.
How is G0568 different from G0569?
G0568 identifies intensive psychiatric care management for the initial calendar month; G0569 is for a subsequent month.
What documentation supports G0568?
Document that the service is for the initial calendar month, describe the psychiatric care-management work, and identify the associated primary procedure.
Is G0568 selected by minutes of service?
The descriptor is based on a calendar month, not a stated minute threshold.
How does the add-on payment relate to the primary procedure?
CMS places payment for G0568 within the primary procedure’s global period. The primary procedure must also be reported.
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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