$137.49
Use G0568 for the initial calendar month of intensive psychiatric care management; G0569 identifies a subsequent month.
On this page
CMS RVU26D · Effective 2026-10-01
G0568 Psychiatric care management Medicare reimbursement rates in Kentucky
Reports intensive psychiatric care-management services for the initial calendar month when furnished with the required primary procedure. Compare G0568 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 G0568 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
$150.82
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$79.85
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.
Psychiatric care management
About G0568: Intensive psychiatric care management, initial month
Reports intensive psychiatric care-management services for the initial calendar month when furnished with the required primary procedure.
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.
CMS billing rules for G0568
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.88 · 39%
- Practice expense (office) RVU2.81 · 58%
- Malpractice RVU0.15 · 3%
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.
G0568 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$149.62
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.
$136.59
99493 describes subsequent-month psychiatric collaborative care management, while G0568 is for the initial calendar month and has add-on status.
Compare G0568 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
$150.82
Facility
$79.85
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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 G0568 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
15,365
- Code
- G0568
- Physician work
- 1.88
- Practice expense
- 2.81
- Malpractice
- 0.15
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.88 | × 1.000 | 1.8800 |
| Practice expense | 2.81 | × 0.889 | 2.4981 |
| Malpractice | 0.15 | × 0.915 | 0.1373 |
| Total RVUs | 4.5153 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$150.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.88 | 1 |
| Practice expense | 2.81 | 0.889 |
| Malpractice | 0.15 | 0.915 |
(1.88 × 1 + 2.81 × 0.889 + 0.15 × 0.915) × $33.4009 = $150.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.88 | 1 |
| Practice expense | 0.42 | 0.889 |
| Malpractice | 0.15 | 0.915 |
(1.88 × 1 + 0.42 × 0.889 + 0.15 × 0.915) × $33.4009 = $79.85
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.
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 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.
15,362G0566,26,3d bn img algor drvd fr mri,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,363G0566,TC,3d bn img algor drvd fr mri,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
15,364G0567,,Screening hep c detect,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,365G0568,,"Int psych care mng, 1 cal mo",A,,1.88,2.81,,0.42,,0.15,4.84,2.45,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,366G0569,,"Subs psych care mng, subs mo",A,,2.05,2.17,,0.49,,0.15,4.37,2.69,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,367G0570,,"Care manage serv, pr cal mo",A,,0.93,0.74,,0.17,,0.06,1.73,1.16,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,368G0571,,Intraop nerve cryoablation,A,,1.36,0.40,,0.21,,0.20,1.96,1.77,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,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