Name of the Procedure:

Initial or Subsequent Psychiatric Collaborative Care Management Common Name: Collaborative Care
Technical/Medical Term: HCPCS Code G2214

Summary

This procedure involves 30 minutes of psychiatric collaborative care management within a month. It includes the activities of a behavioral health care manager who consults with a psychiatric consultant and works under the guidance of the treating physician or another qualified healthcare provider.

Purpose

Medical Conditions or Problems Addressed:

• Depression
• Anxiety disorders
• Bipolar disorder
• Other psychiatric conditions

Goals or Expected Outcomes:

• Improved management of psychiatric symptoms
• Enhanced patient adherence to treatment plans
• Improved overall mental health outcomes

Indications

Specific Symptoms or Conditions:

• Persistent feelings of sadness or anxiety
• Mood swings affecting daily life
• Difficulty coping with daily stressors

Patient Criteria:

• Diagnosed with a psychiatric condition
• Requires collaborative, ongoing mental health management
• Benefits from a multidisciplinary care approach

Preparation

• No specific fasting or medication adjustments required
• Patients may need to complete mental health screening questionnaires before their sessions

Procedure Description

1. Initial Assessment: The behavioral health care manager conducts a thorough assessment, gathering information about the patient's mental health, treatment history, and current needs.
2. Collaborative Planning: The care manager consults with a psychiatric consultant to develop or adjust the treatment plan.
3. Implementation: The behavioral health care manager implements the agreed-upon care plan, maintaining regular contact with the patient.
4. Monitoring and Adjustment: Continuous monitoring of the patient's progress, with adjustments to the care plan as needed, based on consultations and patient feedback.
5. Consultation: Regular consultations are held with the treating physician or another qualified healthcare provider to ensure comprehensive care.

Tools, Equipment, and Technology:

• Electronic health records (EHR) for documentation
• Secure communication tools for consultations
• Evidence-based treatment guidelines

Anesthesia or Sedation:

• Not applicable

Duration

• The procedure takes approximately 30 minutes per month.

Setting

• Conducted in an outpatient setting, such as a mental health clinic or a primary care office.

Personnel

• Behavioral Health Care Manager (e.g., social worker, psychologist, or nurse specializing in mental health)
• Psychiatric Consultant (e.g., psychiatrist)
• Treating Physician or qualified healthcare provider (e.g., primary care doctor)

Risks and Complications

Common Risks:

• Potential for miscommunication between team members
• Patient non-adherence to treatment plan

Rare Risks:

• Possible worsening of symptoms if improperly managed

Management of Complications:

• Regular team meetings to review patient progress
• Adjustments to treatment plans as needed

Benefits

• Improved collaborative treatment for psychiatric conditions
• More personalized and consistent mental health care
• Enhanced patient engagement in their care

Realization Timeline:

• Benefits can be observed within a few weeks to months of consistent management

Recovery

• Continuous management with regular follow-ups
• Patients are encouraged to maintain ongoing participation in their treatment plan

Post-Procedure Care:

• Follow-up appointments as needed
• Adherence to prescribed medications and therapeutic interventions

Alternatives

• Traditional one-on-one therapy sessions
• Medication management without collaborative care
• Self-help or support groups

Pros and Cons of Alternatives:

Traditional Therapy:

• Pros: Direct, personalized care
• Cons: May lack comprehensive, multi-disciplinary approach

Medication Management:

• Pros: Targeted symptom relief
• Cons: May not address underlying issues effectively

Patient Experience

During Procedure:

• Interactive sessions with the behavioral health care manager
• Regular updates and adjustments to care plans

After Procedure:

• Patients may experience improved mood and better management of symptoms
• Continuous support and regular follow-ups help reinforce positive outcomes

Pain Management and Comfort Measures:

• Psychological support and appropriate interventions as needed
• No physical pain associated with the procedure