99494 Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qu

Name of the Procedure:

Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month

Summary

This procedure involves ongoing mental health management by a behavioral health care manager who works with a psychiatric consultant and the patient's primary treating physician. It is billed for each extra 30 minutes dedicated to patient care within a calendar month.

Purpose

The procedure aims to provide comprehensive mental health care through a team-based approach. It addresses various psychiatric conditions such as depression, anxiety, and other behavioral health disorders. The primary goal is to improve mental health outcomes through continuous assessment and tailored intervention strategies.

Indications

• Diagnosed psychiatric conditions like depression, anxiety, bipolar disorder, etc.
• Complex cases requiring multi-disciplinary management.
• Patients experiencing inadequate response to initial treatment.
• Need for ongoing mental health support and medication management.

Preparation

• No specific preparations or fasting required.
• Prior psychiatric evaluation and diagnosis.
• Coordination of care with the primary treating physician.

Procedure Description

1. The behavioral health care manager reviews the patient’s current mental health status.
2. They consult with a psychiatric consultant regarding the treatment plan.
3. The care manager then communicates the plan to the primary treating physician.
4. They engage in follow-up activities like phone calls, video sessions, or in-person visits with the patient.
5. Additional education, counseling, and coordination of care are provided as needed.

Duration

Each billed segment covers an additional 30 minutes of collaborative care management within a calendar month.

Setting

The procedure is usually performed in outpatient settings such as medical clinics or mental health centers. Telehealth options are available as well.

Personnel

• Behavioral Health Care Manager
• Psychiatric Consultant
• Primary Treating Physician

Risks and Complications

• Minimal risks associated with this non-invasive management procedure.
• Potential for miscommunication among care team members.
• Risk of inadequate response to treatment requiring alternative strategies.

Benefits

• Improved mental health outcomes due to a collective approach.
• Continuous monitoring and adjustment of treatment plans.
• Enhanced patient support and counseling which can lead to better adherence to treatment.

Recovery

• No physical recovery required.
• Improvement in mental health symptoms over time.
• Regular follow-ups and adjustments ensure ongoing support.

Alternatives

• Traditional psychiatric care which might involve direct consultations with a psychiatrist.
• Psychotherapy, such as cognitive-behavioral therapy (CBT).
• Medication management by the primary treating physician alone without collaborative care.

Patient Experience

• Patients often experience a supportive and collaborative environment.
• They might have several touchpoints with different health professionals.
• Pain or physical discomfort is not typically an issue.
• Emphasis on mental health support and active communication can improve patient satisfaction and outcomes.