Psychiatric care management codes limited to physicians for billing

Why This Topic Matters

Billing for collaborative behavioral health services depends on payer-specific rules and practice structure. Understanding who can report these services helps practices avoid denied claims and align billing workflows with Medicare guidance.

Article Sections

1. Question

   Introduces the billing eligibility issue for psychiatric collaborative care management services and identifies the provider types involved.

2. Answer

   Summarizes the general billing interpretation, the service model, and the role of Medicare guidance in determining who may report the services.

3. Noridian guidance and CMS clarification

   Notes the Medicare contractor’s position, references CMS guidance, and highlights the importance of checking local contractor policy.

4. Resource

   Provides a contractor reference for additional information.

5. Editor’s note

   Contains contact information for submitting future reader questions.