# CPT 99492: Psychiatric collaborative care management, initial 70 minutes in first month

Medicare CPT 99492 pays $160.32 in a non-facility setting and $82.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.96 in Arkansas to $195.66 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/99492-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Child & Adolescent Psychiatry, Evaluation, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $160.32 |
| National facility | $82.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $195.66 | $112.42 |
| District of Columbia | $180.77 | $88.70 |
| California | $177.45 | $84.97 |
| New York | $175.72 | $88.52 |
| New Jersey | $175.65 | $87.64 |
| Washington | $174.32 | $85.22 |
| Massachusetts | $172.85 | $85.04 |
| Hawaii | $171.08 | $82.21 |
| Connecticut | $169.71 | $85.54 |
| Colorado | $166.00 | $82.84 |
| Maryland | $165.45 | $83.97 |
| Florida | $165.06 | $86.64 |
| Oregon | $164.50 | $82.17 |
| Rhode Island | $164.08 | $83.34 |
| New Hampshire | $163.55 | $82.18 |
| Illinois | $161.67 | $86.15 |
| Puerto Rico | $161.28 | $82.26 |
| Virgin Islands | $161.28 | $82.26 |
| Montana | $160.31 | $82.16 |
| Minnesota | $159.73 | $79.30 |
| Nevada | $159.64 | $81.40 |
| Pennsylvania | $159.31 | $82.75 |
| Wyoming | $159.11 | $80.95 |
| Delaware | $159.05 | $81.83 |
| Texas | $158.90 | $81.95 |
| North Dakota | $157.55 | $79.39 |
| Virginia | $157.37 | $80.54 |
| South Dakota | $157.22 | $79.06 |
| Vermont | $157.09 | $79.71 |
| Georgia | $157.07 | $82.51 |
| Arizona | $156.77 | $81.04 |
| Michigan | $156.57 | $83.18 |
| Maine | $154.45 | $79.77 |
| Utah | $154.28 | $80.81 |
| New Mexico | $153.56 | $81.89 |
| Wisconsin | $153.19 | $78.31 |
| Missouri | $152.61 | $80.88 |
| South Carolina | $152.57 | $80.35 |
| Louisiana | $152.46 | $81.11 |
| North Carolina | $152.41 | $79.49 |
| Ohio | $152.28 | $80.93 |
| Indiana | $151.14 | $78.69 |
| Idaho | $150.43 | $78.53 |
| Nebraska | $150.27 | $78.13 |
| West Virginia | $150.18 | $82.26 |
| Tennessee | $149.71 | $78.66 |
| Kentucky | $149.62 | $80.14 |
| Iowa | $149.61 | $78.10 |
| Oklahoma | $149.35 | $79.55 |
| Kansas | $149.09 | $78.44 |
| Alabama | $146.69 | $78.30 |
| Mississippi | $146.20 | $78.90 |
| Arkansas | $144.96 | $77.83 |

## Related codes

- 99424: Principal care management services, first 30 minutes per month, physician or QHP — https://www.med-reveal.com/rates/99424-cpt-fee-schedule
- 99425: Principal care management services, each additional 30 minutes per month, physician or QHP (add-on) — https://www.med-reveal.com/rates/99425-cpt-fee-schedule
- 99426: Principal care management services, first 30 minutes per month, clinical staff — https://www.med-reveal.com/rates/99426-cpt-fee-schedule
- 99427: Principal care management services, each additional 30 minutes per month, clinical staff (add-on) — https://www.med-reveal.com/rates/99427-cpt-fee-schedule
- 99439: Chronic care management services, non-complex, each additional 20 minutes per month (add-on) — https://www.med-reveal.com/rates/99439-cpt-fee-schedule
- 99484: General behavioral health integration care management, first 20 minutes per month — https://www.med-reveal.com/rates/99484-cpt-fee-schedule
- 99487: Complex chronic care management services, first 60 minutes per month — https://www.med-reveal.com/rates/99487-cpt-fee-schedule
- 99489: Complex chronic care management services, each additional 30 minutes per month (add-on) — https://www.med-reveal.com/rates/99489-cpt-fee-schedule

Commercial negotiated rates for 99492 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules