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CMS RVU26D · Effective 2026-10-01

99493 in Redding

Office / nonfacility

$150.85

Base rate per service

Facility setting

$90.08

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 99493: Subsequent-month psychiatric collaborative care management

Reports a subsequent month of structured psychiatric collaborative care management for a patient receiving coordinated behavioral health treatment in primary care.

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.

Where the value comes from

  • Work RVU2.05 · 47%
  • Practice expense (office) RVU2.15 · 50%
  • Malpractice RVU0.14 · 3%

123K

Medicare services in 2024 · #505 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.

99493 compared with similar codes

Office rates for Redding, from the same CMS release.

99492

Psychiatric care management

Initial month, first 70 minutes

$168.14

99492 represents the initial calendar month of psychiatric collaborative care management; 99493 represents a subsequent month.

99494

Psychiatric collaborative care

Each additional 30 minutes

$64.07

99494 reports additional qualifying time beyond the primary monthly collaborative care service; 99493 represents the subsequent-month service itself.

99484

Behavioral health management

General integration service

$59.39

99484 describes general behavioral health integration management. 99493 is for the more structured psychiatric collaborative care model with a care manager and psychiatric consultant.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 99493 is $151.33—$0.48 higher than the $150.85 rate in Redding. Both use the same code, release and participation basis.

99493 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $150.85

  2. Bakersfield

    $151.33

    $0.48 higher than Redding

  3. Chico

    $150.85

    The same base rate than Redding

  4. El Centro

    $150.87

    $0.02 higher than Redding

  5. Fresno

    $150.85

    The same base rate than Redding

  6. Hanford-Corcoran

    $150.85

    The same base rate than Redding

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

    $159.34

    $8.49 higher than Redding

Other payment areas listed in California 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, 99493 ranges from $132.57 in Arkansas to $182.06 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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

  • Madera

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Merced

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Modesto

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Napa

    California · 99493

    Office

    $169.81

    Facility

    $96.73

    $18.96 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 99493

    Office

    $158.18

    Facility

    $92.65

    $7.33 higher than Redding for the office setting.

  • Rest Of California

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 99493

    Office

    $152.40

    Facility

    $91.63

    $1.55 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 99493

    Office

    $156.96

    Facility

    $92.48

    $6.11 higher than Redding for the office setting.

  • Salinas

    California · 99493

    Office

    $156.33

    Facility

    $92.07

    $5.48 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 99493

    Office

    $158.95

    Facility

    $92.63

    $8.10 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 99493

    Office

    $178.38

    Facility

    $100.20

    $27.53 higher than Redding for the office setting.

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

    California · 99493

    Office

    $178.22

    Facility

    $100.04

    $27.37 higher than Redding for the office setting.

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

    California · 99493

    Office

    $182.06

    Facility

    $102.11

    $31.21 higher than Redding for the office setting.

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

    California · 99493

    Office

    $181.41

    Facility

    $101.46

    $30.56 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 99493

    Office

    $153.94

    Facility

    $90.78

    $3.09 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 99493

    Office

    $159.67

    Facility

    $92.30

    $8.82 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 99493

    Office

    $156.63

    Facility

    $91.98

    $5.78 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 99493

    Office

    $161.22

    Facility

    $93.13

    $10.37 higher than Redding for the office setting.

  • Stockton

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 99493

    Office

    $169.58

    Facility

    $96.50

    $18.73 higher than Redding for the office setting.

  • Visalia

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 99493

    Office

    $150.85

    Facility

    $90.08

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 99493

    Office

    $161.97

    Facility

    $96.65

    $11.12 higher than Redding for the office setting.

  • Miami

    Florida · 99493

    Office

    $155.05

    Facility

    $97.34

    $4.20 higher than Redding for the office setting.

  • Chicago

    Illinois · 99493

    Office

    $151.85

    Facility

    $96.13

    $1.00 higher than Redding for the office setting.

  • Manhattan

    New York · 99493

    Office

    $163.72

    Facility

    $99.29

    $12.87 higher than Redding for the office setting.

  • Alaska*

    Alaska · 99493

    Office

    $181.76

    Facility

    $122.71

    $30.91 higher than Redding for the office setting.

  • Alabama

    Alabama · 99493

    Office

    $133.95

    Facility

    $85.44

    $16.90 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 99493

    Office

    $132.57

    Facility

    $84.94

    $18.28 lower than Redding for the office setting.

  • Arizona

    Arizona · 99493

    Office

    $142.06

    Facility

    $88.33

    $8.79 lower than Redding for the office setting.

  • Colorado

    Colorado · 99493

    Office

    $149.35

    Facility

    $90.36

    $1.50 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 99493

    Office

    $152.84

    Facility

    $93.13

    $1.99 higher than Redding for the office setting.

  • Delaware

    Delaware · 99493

    Office

    $143.97

    Facility

    $89.19

    $6.88 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 99493

    Office

    $149.67

    Facility

    $93.51

    $1.18 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 99493

    Office

    $144.15

    Facility

    $91.15

    $6.70 lower than Redding for the office setting.

  • Atlanta

    Georgia · 99493

    Office

    $147.25

    Facility

    $90.92

    $3.60 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 99493

    Office

    $138.10

    Facility

    $88.64

    $12.75 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 99493

    Office

    $152.83

    Facility

    $89.79

    $1.98 higher than Redding for the office setting.

  • Iowa

    Iowa · 99493

    Office

    $136.04

    Facility

    $85.30

    $14.81 lower than Redding for the office setting.

  • Idaho

    Idaho · 99493

    Office

    $136.75

    Facility

    $85.74

    $14.10 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 99493

    Office

    $143.96

    Facility

    $92.95

    $6.89 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 99493

    Office

    $141.34

    Facility

    $90.72

    $9.51 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 99493

    Office

    $150.99

    Facility

    $94.05

    $0.14 higher than Redding for the office setting.

  • Indiana

    Indiana · 99493

    Office

    $137.31

    Facility

    $85.92

    $13.54 lower than Redding for the office setting.

  • Kansas

    Kansas · 99493

    Office

    $135.75

    Facility

    $85.62

    $15.10 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 99493

    Office

    $136.59

    Facility

    $87.30

    $14.26 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 99493

    Office

    $141.36

    Facility

    $89.18

    $9.49 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 99493

    Office

    $136.51

    Facility

    $87.44

    $14.34 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 99493

    Office

    $161.18

    Facility

    $94.98

    $10.33 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 99493

    Office

    $148.91

    Facility

    $90.53

    $1.94 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 99493

    Office

    $152.41

    Facility

    $92.91

    $1.56 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 99493

    Office

    $146.12

    Facility

    $90.01

    $4.73 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 99493

    Office

    $137.45

    Facility

    $86.44

    $13.40 lower than Redding for the office setting.

  • Southern Maine

    Maine · 99493

    Office

    $142.59

    Facility

    $87.64

    $8.26 lower than Redding for the office setting.

  • Detroit

    Michigan · 99493

    Office

    $145.65

    Facility

    $92.15

    $5.20 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 99493

    Office

    $139.32

    Facility

    $88.69

    $11.53 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 99493

    Office

    $143.75

    Facility

    $86.70

    $7.10 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 99493

    Office

    $140.47

    Facility

    $88.41

    $10.38 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 99493

    Office

    $141.52

    Facility

    $88.74

    $9.33 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 99493

    Office

    $134.93

    Facility

    $87.13

    $15.92 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 99493

    Office

    $133.76

    Facility

    $86.02

    $17.09 lower than Redding for the office setting.

  • Montana**

    Montana · 99493

    Office

    $144.95

    Facility

    $89.51

    $5.90 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 99493

    Office

    $138.46

    Facility

    $86.73

    $12.39 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 99493

    Office

    $142.18

    Facility

    $86.74

    $8.67 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 99493

    Office

    $136.52

    Facility

    $85.35

    $14.33 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 99493

    Office

    $147.32

    Facility

    $89.60

    $3.53 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 99493

    Office

    $161.08

    Facility

    $96.76

    $10.23 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 99493

    Office

    $154.76

    Facility

    $94.21

    $3.91 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 99493

    Office

    $139.94

    Facility

    $89.10

    $10.91 lower than Redding for the office setting.

  • Nevada**

    Nevada · 99493

    Office

    $144.25

    Facility

    $88.75

    $6.60 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 99493

    Office

    $166.92

    Facility

    $101.00

    $16.07 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 99493

    Office

    $155.85

    Facility

    $95.13

    $5.00 higher than Redding for the office setting.

  • Queens

    New York · 99493

    Office

    $164.48

    Facility

    $98.94

    $13.63 higher than Redding for the office setting.

  • Rest Of New York

    New York · 99493

    Office

    $139.98

    Facility

    $87.31

    $10.87 lower than Redding for the office setting.

  • Ohio

    Ohio · 99493

    Office

    $138.75

    Facility

    $88.13

    $12.10 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 99493

    Office

    $136.23

    Facility

    $86.72

    $14.62 lower than Redding for the office setting.

  • Portland

    Oregon · 99493

    Office

    $152.83

    Facility

    $91.23

    $1.98 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 99493

    Office

    $143.28

    Facility

    $88.06

    $7.57 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 99493

    Office

    $150.04

    Facility

    $92.32

    $0.81 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 99493

    Office

    $138.81

    Facility

    $87.92

    $12.04 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 99493

    Office

    $145.68

    Facility

    $89.62

    $5.17 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 99493

    Office

    $148.13

    Facility

    $90.85

    $2.72 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 99493

    Office

    $138.80

    Facility

    $87.57

    $12.05 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 99493

    Office

    $141.85

    Facility

    $86.41

    $9.00 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 99493

    Office

    $136.26

    Facility

    $85.86

    $14.59 lower than Redding for the office setting.

  • Austin

    Texas · 99493

    Office

    $148.73

    Facility

    $90.07

    $2.12 lower than Redding for the office setting.

  • Beaumont

    Texas · 99493

    Office

    $138.16

    Facility

    $87.71

    $12.69 lower than Redding for the office setting.

  • Brazoria

    Texas · 99493

    Office

    $143.83

    Facility

    $88.89

    $7.02 lower than Redding for the office setting.

  • Dallas

    Texas · 99493

    Office

    $144.62

    Facility

    $89.40

    $6.23 lower than Redding for the office setting.

  • Fort Worth

    Texas · 99493

    Office

    $143.97

    Facility

    $89.30

    $6.88 lower than Redding for the office setting.

  • Galveston

    Texas · 99493

    Office

    $144.20

    Facility

    $89.14

    $6.65 lower than Redding for the office setting.

  • Houston

    Texas · 99493

    Office

    $146.76

    Facility

    $91.71

    $4.09 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 99493

    Office

    $140.84

    Facility

    $88.23

    $10.01 lower than Redding for the office setting.

  • Utah

    Utah · 99493

    Office

    $140.17

    Facility

    $88.06

    $10.68 lower than Redding for the office setting.

  • Virginia

    Virginia · 99493

    Office

    $142.36

    Facility

    $87.86

    $8.49 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 99493

    Office

    $145.68

    Facility

    $89.62

    $5.17 lower than Redding for the office setting.

  • Vermont

    Vermont · 99493

    Office

    $141.93

    Facility

    $87.04

    $8.92 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 99493

    Office

    $148.54

    Facility

    $90.15

    $2.31 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 99493

    Office

    $163.83

    Facility

    $95.80

    $12.98 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 99493

    Office

    $138.71

    Facility

    $85.59

    $12.14 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 99493

    Office

    $137.57

    Facility

    $89.39

    $13.28 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 99493

    Office

    $143.74

    Facility

    $88.30

    $7.11 lower than Redding for the office setting.

See how rates vary across the country

99493 · 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.

$132.57

$181.76

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$181.761
AL$133.951
AR$132.571
AZ$142.061
CA$150.85–$182.0629
CO$149.351
CT$152.841
DC$161.971
DE$143.971
FL$144.15–$155.053
GA$138.10–$147.252
GU$152.831
HI$152.831
IA$136.041
ID$136.751
IL$141.34–$151.854
IN$137.311
KS$135.751
KY$136.591
LA$136.51–$141.362
MA$148.91–$161.182
MD$146.12–$161.973
ME$137.45–$142.592
MI$139.32–$145.652
MN$143.751
MO$134.93–$141.523
MS$133.761
MT$144.951
NC$138.461
ND$142.181
NE$136.521
NH$147.321
NJ$154.76–$161.082
NM$139.941
NV$144.251
NY$139.98–$166.925
OH$138.751
OK$136.231
OR$143.28–$152.832
PA$138.81–$150.042
PR$145.681
RI$148.131
SC$138.801
SD$141.851
TN$136.261
TX$138.16–$148.738
UT$140.171
VA$142.36–$161.972
VI$145.681
VT$141.931
WA$148.54–$163.832
WI$138.711
WV$137.571
WY$143.741

Explore 99493 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 99493 in Redding, the physician’s office rate is $150.85 and the facility-setting rate is $90.08: a difference of $60.77.

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 99493 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$165.94

$150.85 × 110% = $165.94

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 99493 in Redding.

PPRRVU2026_Oct_nonQPP.csv

13,157

Code
99493
Physician work
2.05
Practice expense
2.15
Malpractice
0.14

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 99493 in Redding
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0172.0848
Practice expense2.15× 1.0962.3564
Malpractice0.14× 0.5360.0750
Total RVUs4.5163
Conversion factor× 33.4009

Office / nonfacility rate, Redding$150.85

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

Open 99493 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.051.017
Practice expense2.151.096
Malpractice0.140.536

(2.05 × 1.017 + 2.15 × 1.096 + 0.14 × 0.536) × $33.4009 = $150.85

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.051.017
Practice expense0.491.096
Malpractice0.140.536

(2.05 × 1.017 + 0.49 × 1.096 + 0.14 × 0.536) × $33.4009 = $90.08

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

99493 · Office / nonfacility

$150.85

Effective 2026-10-01

The base rate is $12.66 higher than on 2025-10-01, moving from $138.19 to $150.85 (9.2%).

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

    $138.19changed to$150.85

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $138.19

    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$150.85$90.08RVU26D
2026-07-01$150.85$90.08RVU26C
2026-04-01$150.85$90.08RVU26B
2026-01-01$150.85$90.08RVU26A
2025-10-01$138.19$100.36RVU25D
2025-07-01$138.19$100.36RVU25C
2025-04-01$138.19$100.36RVU25B
2025-01-01$138.19$100.36RVU25A

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 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 99493PPRRVU2026_Oct_nonQPP.csv, line 13,157 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet