2025 HCPCS Code G0323
Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include 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, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)
TAGS: patients mental status authorized medicare management initial applicable whose revision physicians minutes rating prescribe health planning progressing behavioral required assessment coordination marriage continuity validated treatment designated include relation furnish coordinating psychiatric member counseling social family therapist facilitating calendar practitioners medications least clinicalShort Description | Care manage beh svs 20mins |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2023 |
HCPCS Action Effective Date | January 01, 2024 |
HCPCS Pricing Indicator Code | 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
HCPCS Type Of Service Code | 1 - Medical care |
HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
HCPCS Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- G9285 - Site not small cell lung ca
- G9286 - Antibio rx w in 10d of sympt
- G9287 - No antibio w in 10d of sympt
- G9288 - Doc medrsn no hist type rpt
- G9289 - Doc type nsm lung ca
- G9290 - No doc type nsm lung ca
- G9291 - Not nsm lung ca
- G9292 - Medrsn no pt category
- G9293 - No pt category on report
- G9294 - Pt cat and thck on report
- G9295 - Non cutaneous loc
- G9296 - Doc share dec prior proc
- G9297 - No doc share dec prior proc
- G9298 - Eval risk vte card 30d prior
- G9299 - No eval risk vte card prior
- G9300 - Doc medrsn no compl antibio
- G9301 - Doc compl inf antibio
- G9302 - Norsn incomp inf antibio
- G9303 - Norsn no pros info op rpt
- G9304 - Pros info op rpt