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CMS RVU26D · Effective 2026-10-01

99484 in Delaware

Office / nonfacility

$57.11

Base rate per service

Facility setting

$38.63

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Behavioral health care management

About 99484: Behavioral health integration care management

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.

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.

Where the value comes from

  • Work RVU0.93 · 54%
  • Practice expense (office) RVU0.73 · 42%
  • Malpractice RVU0.06 · 3%

438.7K

Medicare services in 2024 · #243 by national volume

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.

99484 compared with similar codes

Office rates for Delaware, from the same CMS release.

99492

Psychiatric care management

Initial month, first 70 minutes

$159.05

Choose 99492 for the initial month of psychiatric collaborative care with its structured team model; 99484 is the general behavioral health integration service.

99493

Collaborative care

Subsequent month

$143.97

99493 describes subsequent-month psychiatric collaborative care. 99484 is not distinguished by an initial-versus-subsequent collaborative-care month.

99490

Chronic care management

Clinical staff, first 20 minutes

$65.70

99490 is chronic care management for eligible chronic conditions. Use 99484 for the behavioral health integration service, not simply because a behavioral condition is chronic.

The same code, a different location

How does Delaware compare?

99484 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $57.11

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $62.51

    $5.40 higher than Delaware

  3. Dc + Md/Va Suburbs

    $63.69

    $6.58 higher than Delaware

  4. Miami

    $61.51

    $4.40 higher than Delaware

  5. Chicago

    $60.38

    $3.27 higher than Delaware

  6. Manhattan

    $64.56

    $7.45 higher than Delaware

  7. Alaska*

    $73.67

    $16.56 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 99484 ranges from $53.04 in Arkansas to $73.67 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 99484

    Office

    $53.53

    Facility

    $37.17

    $3.58 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 99484

    Office

    $53.04

    Facility

    $36.97

    $4.07 lower than Delaware for the office setting.

  • Arizona

    Arizona · 99484

    Office

    $56.41

    Facility

    $38.28

    $0.70 lower than Delaware for the office setting.

  • Bakersfield

    California · 99484

    Office

    $59.60

    Facility

    $39.10

    $2.49 higher than Delaware for the office setting.

  • Chico

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • El Centro

    California · 99484

    Office

    $59.40

    Facility

    $38.90

    $2.29 higher than Delaware for the office setting.

  • Fresno

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Madera

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Merced

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Modesto

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Napa

    California · 99484

    Office

    $66.17

    Facility

    $41.52

    $9.06 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 99484

    Office

    $62.00

    Facility

    $39.89

    $4.89 higher than Delaware for the office setting.

  • Redding

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Rest Of California

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 99484

    Office

    $60.05

    Facility

    $39.55

    $2.94 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 99484

    Office

    $61.61

    Facility

    $39.86

    $4.50 higher than Delaware for the office setting.

  • Salinas

    California · 99484

    Office

    $61.36

    Facility

    $39.68

    $4.25 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 99484

    Office

    $62.24

    Facility

    $39.87

    $5.13 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 99484

    Office

    $69.31

    Facility

    $42.94

    $12.20 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 99484

    Office

    $69.25

    Facility

    $42.87

    $12.14 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 99484

    Office

    $70.71

    Facility

    $43.74

    $13.60 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 99484

    Office

    $70.44

    Facility

    $43.46

    $13.33 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 99484

    Office

    $60.44

    Facility

    $39.13

    $3.33 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 99484

    Office

    $62.41

    Facility

    $39.69

    $5.30 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 99484

    Office

    $61.44

    Facility

    $39.63

    $4.33 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 99484

    Office

    $63.01

    Facility

    $40.04

    $5.90 higher than Delaware for the office setting.

  • Stockton

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Vallejo

    California · 99484

    Office

    $66.08

    Facility

    $41.42

    $8.97 higher than Delaware for the office setting.

  • Visalia

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Yuba City

    California · 99484

    Office

    $59.39

    Facility

    $38.89

    $2.28 higher than Delaware for the office setting.

  • Colorado

    Colorado · 99484

    Office

    $58.94

    Facility

    $39.04

    $1.83 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 99484

    Office

    $60.37

    Facility

    $40.22

    $3.26 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 99484

    Office

    $59.39

    Facility

    $40.44

    $2.28 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 99484

    Office

    $57.38

    Facility

    $39.50

    $0.27 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 99484

    Office

    $58.34

    Facility

    $39.33

    $1.23 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 99484

    Office

    $55.20

    Facility

    $38.52

    $1.91 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 99484

    Office

    $59.95

    Facility

    $38.68

    $2.84 higher than Delaware for the office setting.

  • Iowa

    Iowa · 99484

    Office

    $54.17

    Facility

    $37.05

    $2.94 lower than Delaware for the office setting.

  • Idaho

    Idaho · 99484

    Office

    $54.44

    Facility

    $37.23

    $2.67 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 99484

    Office

    $57.53

    Facility

    $40.32

    $0.42 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 99484

    Office

    $56.46

    Facility

    $39.38

    $0.65 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 99484

    Office

    $59.87

    Facility

    $40.66

    $2.76 higher than Delaware for the office setting.

  • Indiana

    Indiana · 99484

    Office

    $54.64

    Facility

    $37.30

    $2.47 lower than Delaware for the office setting.

  • Kansas

    Kansas · 99484

    Office

    $54.11

    Facility

    $37.21

    $3.00 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 99484

    Office

    $54.57

    Facility

    $37.94

    $2.54 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 99484

    Office

    $56.28

    Facility

    $38.68

    $0.83 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 99484

    Office

    $54.56

    Facility

    $38.01

    $2.55 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 99484

    Office

    $63.23

    Facility

    $40.90

    $6.12 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 99484

    Office

    $58.83

    Facility

    $39.14

    $1.72 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 99484

    Office

    $60.20

    Facility

    $40.13

    $3.09 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 99484

    Office

    $57.89

    Facility

    $38.96

    $0.78 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 99484

    Office

    $54.74

    Facility

    $37.53

    $2.37 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 99484

    Office

    $56.49

    Facility

    $37.95

    $0.62 lower than Delaware for the office setting.

  • Detroit

    Michigan · 99484

    Office

    $57.97

    Facility

    $39.92

    $0.86 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 99484

    Office

    $55.59

    Facility

    $38.51

    $1.52 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 99484

    Office

    $56.75

    Facility

    $37.50

    $0.36 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 99484

    Office

    $55.92

    Facility

    $38.35

    $1.19 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 99484

    Office

    $56.28

    Facility

    $38.48

    $0.83 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 99484

    Office

    $54.03

    Facility

    $37.91

    $3.08 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 99484

    Office

    $53.54

    Facility

    $37.43

    $3.57 lower than Delaware for the office setting.

  • Montana**

    Montana · 99484

    Office

    $57.45

    Facility

    $38.74

    $0.34 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 99484

    Office

    $55.09

    Facility

    $37.64

    $2.02 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 99484

    Office

    $56.26

    Facility

    $37.55

    $0.85 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 99484

    Office

    $54.33

    Facility

    $37.06

    $2.78 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 99484

    Office

    $58.20

    Facility

    $38.73

    $1.09 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 99484

    Office

    $63.44

    Facility

    $41.75

    $6.33 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 99484

    Office

    $61.13

    Facility

    $40.70

    $4.02 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 99484

    Office

    $55.83

    Facility

    $38.68

    $1.28 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 99484

    Office

    $57.14

    Facility

    $38.42

    $0.03 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 99484

    Office

    $65.76

    Facility

    $43.52

    $8.65 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 99484

    Office

    $61.58

    Facility

    $41.10

    $4.47 higher than Delaware for the office setting.

  • Queens

    New York · 99484

    Office

    $64.76

    Facility

    $42.65

    $7.65 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 99484

    Office

    $55.64

    Facility

    $37.87

    $1.47 lower than Delaware for the office setting.

  • Ohio

    Ohio · 99484

    Office

    $55.34

    Facility

    $38.27

    $1.77 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 99484

    Office

    $54.39

    Facility

    $37.69

    $2.72 lower than Delaware for the office setting.

  • Portland

    Oregon · 99484

    Office

    $60.14

    Facility

    $39.36

    $3.03 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 99484

    Office

    $56.76

    Facility

    $38.13

    $0.35 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 99484

    Office

    $59.40

    Facility

    $39.92

    $2.29 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 99484

    Office

    $55.34

    Facility

    $38.17

    $1.77 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 99484

    Office

    $57.69

    Facility

    $38.78

    $0.58 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 99484

    Office

    $58.63

    Facility

    $39.31

    $1.52 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 99484

    Office

    $55.30

    Facility

    $38.01

    $1.81 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 99484

    Office

    $56.12

    Facility

    $37.41

    $0.99 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 99484

    Office

    $54.30

    Facility

    $37.30

    $2.81 lower than Delaware for the office setting.

  • Austin

    Texas · 99484

    Office

    $58.70

    Facility

    $38.91

    $1.59 higher than Delaware for the office setting.

  • Beaumont

    Texas · 99484

    Office

    $55.11

    Facility

    $38.09

    $2.00 lower than Delaware for the office setting.

  • Brazoria

    Texas · 99484

    Office

    $57.04

    Facility

    $38.50

    $0.07 lower than Delaware for the office setting.

  • Dallas

    Texas · 99484

    Office

    $57.35

    Facility

    $38.72

    $0.24 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 99484

    Office

    $57.13

    Facility

    $38.69

    $0.02 higher than Delaware for the office setting.

  • Galveston

    Texas · 99484

    Office

    $57.18

    Facility

    $38.61

    $0.07 higher than Delaware for the office setting.

  • Houston

    Texas · 99484

    Office

    $58.28

    Facility

    $39.71

    $1.17 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 99484

    Office

    $56.01

    Facility

    $38.26

    $1.10 lower than Delaware for the office setting.

  • Utah

    Utah · 99484

    Office

    $55.78

    Facility

    $38.20

    $1.33 lower than Delaware for the office setting.

  • Virginia

    Virginia · 99484

    Office

    $56.45

    Facility

    $38.06

    $0.66 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 99484

    Office

    $57.69

    Facility

    $38.78

    $0.58 higher than Delaware for the office setting.

  • Vermont

    Vermont · 99484

    Office

    $56.22

    Facility

    $37.70

    $0.89 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 99484

    Office

    $58.67

    Facility

    $38.97

    $1.56 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 99484

    Office

    $64.17

    Facility

    $41.22

    $7.06 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 99484

    Office

    $55.04

    Facility

    $37.12

    $2.07 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 99484

    Office

    $55.12

    Facility

    $38.86

    $1.99 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 99484

    Office

    $56.93

    Facility

    $38.22

    $0.18 lower than Delaware for the office setting.

See how rates vary across the country

99484 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$73.671
AL$53.531
AR$53.041
AZ$56.411
CA$59.39–$70.7129
CO$58.941
CT$60.371
DC$63.691
DE$57.111
FL$57.38–$61.513
GA$55.20–$58.342
GU$59.951
HI$59.951
IA$54.171
ID$54.441
IL$56.46–$60.384
IN$54.641
KS$54.111
KY$54.571
LA$54.56–$56.282
MA$58.83–$63.232
MD$57.89–$63.693
ME$54.74–$56.492
MI$55.59–$57.972
MN$56.751
MO$54.03–$56.283
MS$53.541
MT$57.451
NC$55.091
ND$56.261
NE$54.331
NH$58.201
NJ$61.13–$63.442
NM$55.831
NV$57.141
NY$55.64–$65.765
OH$55.341
OK$54.391
OR$56.76–$60.142
PA$55.34–$59.402
PR$57.691
RI$58.631
SC$55.301
SD$56.121
TN$54.301
TX$55.11–$58.708
UT$55.781
VA$56.45–$63.692
VI$57.691
VT$56.221
WA$58.67–$64.172
WI$55.041
WV$55.121
WY$56.931

Explore 99484 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 99484 in Delaware, the physician’s office rate is $57.11 and the facility-setting rate is $38.63: a difference of $18.48.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 99484 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$62.82

$57.11 × 110% = $62.82

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99484 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

13,149

Code
99484
Physician work
0.93
Practice expense
0.73
Malpractice
0.06

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 99484 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.93× 1.0050.9346
Practice expense0.73× 0.9880.7212
Malpractice0.06× 0.8990.0539
Total RVUs1.7098
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$57.11

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 99484 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.931.005
Practice expense0.730.988
Malpractice0.060.899

(0.93 × 1.005 + 0.73 × 0.988 + 0.06 × 0.899) × $33.4009 = $57.11

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.931.005
Practice expense0.170.988
Malpractice0.060.899

(0.93 × 1.005 + 0.17 × 0.988 + 0.06 × 0.899) × $33.4009 = $38.63

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

99484 · Office / nonfacility

$57.11

Effective 2026-10-01

The base rate is $4.04 higher than on 2025-10-01, moving from $53.07 to $57.11 (7.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $53.07changed to$57.11

    • 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
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $53.07

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$57.11$38.63RVU26D
2026-07-01$57.11$38.63RVU26C
2026-04-01$57.11$38.63RVU26B
2026-01-01$57.11$38.63RVU26A
2025-10-01$53.07$41.51RVU25D
2025-07-01$53.07$41.51RVU25C
2025-04-01$53.07$41.51RVU25B
2025-01-01$53.07$41.51RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 99484PPRRVU2026_Oct_nonQPP.csv, line 13,149 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet