$149.62
99492 represents the initial calendar month of psychiatric collaborative care management; 99493 represents a subsequent month.
On this page
CMS RVU26D · Effective 2026-10-01
99493 Collaborative care Medicare reimbursement rates in Kentucky
Reports a subsequent month of structured psychiatric collaborative care management for a patient receiving coordinated behavioral health treatment in primary care. Compare 99493 office and facility rates across CMS payment localities in Kentucky.
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.
What does Medicare pay for 99493 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$136.59
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$87.30
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Kentucky, from the same CMS release.
$57.73
99494 reports additional qualifying time beyond the primary monthly collaborative care service; 99493 represents the subsequent-month service itself.
$54.57
99484 describes general behavioral health integration management. 99493 is for the more structured psychiatric collaborative care model with a care manager and psychiatric consultant.
Compare 99493 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$136.59
Facility
$87.30
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Kentucky.
PPRRVU2026_Oct_nonQPP.csv
13,157
- Code
- 99493
- Physician work
- 2.05
- Practice expense
- 2.15
- Malpractice
- 0.14
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.000 | 2.0500 |
| Practice expense | 2.15 | × 0.889 | 1.9113 |
| Malpractice | 0.14 | × 0.915 | 0.1281 |
| Total RVUs | 4.0894 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$136.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 2.15 | 0.889 |
| Malpractice | 0.14 | 0.915 |
(2.05 × 1 + 2.15 × 0.889 + 0.14 × 0.915) × $33.4009 = $136.59
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 0.49 | 0.889 |
| Malpractice | 0.14 | 0.915 |
(2.05 × 1 + 0.49 × 0.889 + 0.14 × 0.915) × $33.4009 = $87.30
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.
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.
13,15499490,,Chrnc care mgmt staff 1st 20,A,,1.00,0.91,,0.24,,0.07,1.98,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,15599491,,Chrnc care mgmt phys 1st 30,A,,1.50,1.08,,0.37,,0.09,2.67,1.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,15699492,,1st psyc collab care mgmt,A,,1.88,2.78,,0.44,,0.14,4.80,2.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,15799493,,Sbsq psyc collab care mgmt,A,,2.05,2.15,,0.49,,0.14,4.34,2.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,15899494,,1st/sbsq psyc collab care,A,,0.82,0.96,,0.20,,0.06,1.84,1.08,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,15999495,,Transj care mgmt mod f2f 14d,A,,2.78,3.62,,0.69,,0.19,6.59,3.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,16099496,,Transj care mgmt high f2f 7d,A,,3.79,4.91,,0.95,,0.24,8.94,4.98,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631