Article Detail - JF Part B

New HCPCS Code Added for Behavioral Health Integration

• G0323 - Care Management Services for Behavioral Health Conditions
  • Describes general BHI that a clinical psychologist (CP) or clinical social worker (CSW) performs to account for monthly care integration.
  • A CP or CSW, serving as the focal point of care integration, furnishes the mental health services.
  • At least 20 minutes of CP or CSW time per calendar month.
  • Initial assessment or follow-up monitoring, including using applicable validated rating scales; behavioral health care planning about behavioral or psychiatric health problems, including revision for patients who aren’t progressing or whose status changes.
  • Facilitating and coordinating treatment such as psychotherapy, coordination with and referral to physicians and practitioners who Medicare authorizes to prescribe medications and furnish E/M services, counseling or psychiatric consultation and continuity of care with an appointed member of the care team.

Resource:

CMS MLN 909432 Behavioral Health Integration Services