99494 Insurance Policy Changes

CPT 99494, in plain terms, covers A mental health specialist consults with your primary care doctor to coordinate your psychiatric treatment and care. CPT 99494 is referenced in 6 tracked payer policy changes from Connecticut Medicaid (HUSKY Health), CareFirst BlueCross BlueShield, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99494 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99494 on AAPC