Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care
CPT4 code
Name of the Procedure:
Subsequent Psychiatric Collaborative Care Management, First 60 Minutes in a Subsequent Month of Behavioral Health Care Manager Activities
Summary
This procedure involves coordinating and managing ongoing psychiatric care through a collaborative team approach. The behavioral health care manager works in consultation with a psychiatric consultant and under the direction of the treating physician to continue treatment and monitoring of the patient's mental health in subsequent months.
Purpose
This procedure addresses various psychiatric conditions such as depression, anxiety, bipolar disorder, and other mental health disorders. The goal is to provide continuous management and monitoring to improve the patient's mental health, ensure medication adherence, and adjust treatment plans as necessary.
Indications
- Persistent depressive disorder
- Generalized anxiety disorder
- Bipolar disorder
- Schizophrenia
- Patients needing ongoing psychiatric management and support
Preparation
- No specific preparation such as fasting or medication adjustments is typically required.
- Initial diagnostic assessments would have been completed in prior consultations.
- Routine monitoring and updates of the patient’s medical history and current mental health status.
Procedure Description
- Patient Consultation: The behavioral health care manager reviews the patient’s current status through direct communication, either in-person, over the phone, or via telehealth.
- Case Review: The care manager consults with a psychiatric consultant to discuss the patient's progress and any required changes to the treatment plan.
- Treatment Adjustment: Based on the consultation, adjustments to medications, therapies, or other interventions are made.
- Coordination: The care manager coordinates with the treating physician and records the care plan updates.
- Documentation: Detailed notes and updates to the patient’s medical records are made.
Duration
This specific session takes approximately 60 minutes, but the overall management process is ongoing.
Setting
This procedure can be performed in various settings, including outpatient clinics, mental health facilities, or through telehealth platforms.
Personnel
- Behavioral Health Care Manager: Conducts patient interviews and manages care coordination.
- Psychiatric Consultant: Provides expert advice on treatment adjustments.
- Treating Physician: Oversees the overall treatment plan and integrates psychiatric care into general medical care.
Risks and Complications
- Common: Miscommunication between team members, minor adjustments in treatment not having the desired effect.
- Rare: Significant exacerbations of the psychiatric condition if treatment adjustments fail.
Benefits
- Improved management of mental health conditions.
- Ongoing support and adjustments lead to better treatment outcomes.
- Enhanced coordination between mental health and general medical care.
Recovery
- No specific recovery period since this is part of ongoing care management.
- Patients are expected to continue their daily activities and adhere to the updated treatment plans.
- Scheduled follow-up appointments to monitor progress.
Alternatives
- Traditional psychiatric follow-ups with less frequent collaborative interventions.
- Individual therapy without integrated care management.
- Medication management without additional behavioral health support.
Patient Experience
- Patients may experience a structured and consistent approach to managing their mental health.
- The ongoing communication and adjustments can help patients feel supported and understood.
- Minimal discomfort is expected as the procedure is non-invasive.
- Pain and discomfort are typically not issues, but any mental health distress should be communicated to the care team immediately.