G2214 HCPCS code: Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional
G2214 is the HCPCS Level II code for initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional. In 2024 Medicare paid an average of $40.86 per service for G2214 across 27,201 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume rose 193% from 2022 to 2024 (9,275 to 27,201 services). In 2024, about 2,166 clinicians billed Medicare for G2214 for 19,522 beneficiaries; New York, Indiana, Texas accounted for 49% of services.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | M5D |
| Added | 2021-01-01 |
| Last action effective | 2021-01-01 |
Who bills G2214 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 2,166 |
| Medicare beneficiaries | 19,522 |
| States with claims | 34 |
| Share of services in top 3 states (New York, Indiana, Texas) | 49% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G2214, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 9,275 | 4,597 | $56.63 | $44.11 |
| 2023 | 13,133 | 6,794 | $52.26 | $40.68 |
| 2024 | 27,201 | 19,522 | $51.98 | $40.86 |
States with the most G2214 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 6,373 | $40.22 |
| Indiana | 3,677 | $55.55 |
| Texas | 3,336 | $33.27 |
| Florida | 3,201 | $39.17 |
| Pennsylvania | 1,256 | $39.12 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A56562: Billing and Coding: Health and Behavior Assessment/Intervention (Palmetto GBA (MAC - Part A, MAC - Part B))
What changed for G2214
- 2021-01-01: G2214 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G2214?
G2214 is the HCPCS Level II code for initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional. Short descriptor: "Init/sub psych care m 1st 30".
How much does Medicare pay for G2214?
In 2024, the average Medicare payment was $40.86 per service (average allowed $51.98).
Does Medicare cover G2214?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of G2214 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related G22 codes
- G2200 — Patient identified as an unhealthy alcohol user received brief counseling
- G2201 — Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)
- G2202 — Patient did not receive brief counseling if identified as an unhealthy alcohol user
- G2203 — Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)
- G2204 — Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period
- G2205 — Patients with pregnancy during adjuvant treatment course
- G2206 — Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy
- G2207 — Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)
- G2208 — Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy
- G2209 — Patient refused to participate
- G2210 — Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)
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Next steps
- Run a reimbursement report for a device billed under G2214
- Watch G2214 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G2214
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.