<?xml version="1.0" encoding="UTF-8"?>
<HCPCS>
<HCPC>
G0568
</HCPC>
<LongDescription>
Initial psychiatric collaborative care management, in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies (list separately in addition to the advanced primary care management code)
</LongDescription>
<ShortDescription>
Int psych care mng, 1 cal mo
</ShortDescription>
<PricingIndicators>
<PricingIndicator>
<PricingIndicatorName>
13
</PricingIndicatorName>
<PricingIndicatorCode>
Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
</PricingIndicatorCode>
</PricingIndicator>
</PricingIndicators>
<MPI>
A
</MPI>
<MultiplePricingIndicatorCode>
Not applicable as HCPCS priced under one methodology
</MultiplePricingIndicatorCode>
<CIMs/>
<MCMs>
</MCMs>
<Statute/>
<LabCertifications/>
<XReferences/>
<Coverage>
C
</Coverage>
<CoverageDescription>
Carrier judgment
</CoverageDescription>
<ASCPayGrp/>
<ASCPayGrpEffDate/>
<MOGPayGrp/>
<MOGPaymentGroupCode/>
<MOGPayInd/>
<MOGPaymentPolicyIndicator/>
<MOGEffDate/>
<ProcNote/>
<BETOS>
M5D
</BETOS>
<BETOSDescription>
Specialist - other
</BETOSDescription>
<TypeOfServices>
<TypeOfService>
<TOS>
1
</TOS>
<TypeOfServiceCode>
Medical care
</TypeOfServiceCode>
</TypeOfService>
</TypeOfServices>
<AnestBaseUnits>
0
</AnestBaseUnits>
<CodeAddDate>
20260101
</CodeAddDate>
<ActionEffDate>
20260101
</ActionEffDate>
<TermDate/>
<ActionCode>
N
</ActionCode>
<ActionCodeDescription>
No maintenance for this code
</ActionCodeDescription>
</HCPCS>