HCPCS G0507 Code. Care manage serv minimum 20


Table of content for "Care manage serv minimum 20" (HCPCS G0507)

General information on the “G0507” code

HCPCS Code: G0507
Long Description: Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team
Short Description: Care manage serv minimum 20

Original information is taken from G0507 page

Pricing indicators

Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information


Cross Reference Code 1: 99484 ;

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): M5D – Specialist - other
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20170101
Code Effective Date: 20180101
Termination Date: 20171231
Action Code: N – No maintenance for this code