HCPCS G0569: Psychiatric care managementMedicare rate & RVUs in Florida
Reports psychiatric care management for a subsequent calendar month when the service is eligible for add-on payment with a primary procedure.
Medicare pays $145.29–$156.59 for G0569 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
What G0569 covers
G0569 identifies psychiatric care management delivered during a subsequent calendar month, rather than the initial month. In practice, this may involve ongoing coordination around a patient’s psychiatric care among the treating clinician and behavioral health team. The code label does not specify a time threshold, a particular psychiatric diagnosis, or a required provider type, so the record should describe the management work actually performed and its connection to the patient’s care.
G0569 is an add-on code and cannot be reported alone. CMS indicates that it is paid within the global period of the related primary procedure; submit it only with an eligible primary service. Documentation should support the subsequent-month service, identify the patient and psychiatric care being managed, and connect the work to the primary procedure on the claim. G0568 is the nearby first-calendar-month psychiatric care management code, making the month of service a key distinction when selecting between them.
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 G0569 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$145.29 to $156.59
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $150.95 | $94.11 |
| Miami | $156.59 | $98.18 |
| Rest Of Florida | $145.29 | $91.65 |
How the G0569 rate is calculated
Each of G0569’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 · G0569
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.05Practice expense 2.17Malpractice 0.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0569
The CMS indicators that decide how G0569 is paid alongside other services.
CMS payment indicators · G0569
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. |
G0569 compared with similar codes
Compare codes
G0569 vs G0568 vs 99493 vs 99492: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0568Psychiatric care management
- G0568 is identified for the first calendar month of psychiatric care management; G0569 is identified for a subsequent month.
- 99493Collaborative care
- 99493 is the code for subsequent-month psychiatric collaborative care management. Use G0569 only when the applicable coding rules call for this HCPCS add-on rather than the billing code service.
- 99492Psychiatric care management
- 99492 describes first-month psychiatric collaborative care management, whereas G0569 is identified for a subsequent calendar month.
G0569 billing questions
How does G0569 differ from G0568?
G0569 is for a subsequent calendar month of psychiatric care management; G0568 is identified as the first-calendar-month code. Select based on the month of the service, not simply the date the claim is submitted.
Can G0569 be billed by itself?
No. CMS classifies it as an add-on code that must be billed with a primary procedure.
What primary code must accompany G0569?
The supplied CMS facts establish that a primary procedure is required but do not identify its code. Do not assume G0568 is the required primary code solely because it is the first-month sibling.
What should the record support?
Document the psychiatric care management performed during the subsequent calendar month, the patient and care involved, and the connection to the primary procedure. The code facts provided do not specify a time threshold.
How does the CMS global-period rule affect payment?
CMS pays this add-on within the global period of the primary procedure. The claim must pair G0569 with that primary procedure.
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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