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BHI · Service Detail

Depression and anxiety support, coordinated inside your existing care team

Systematic behavioral health screening, care planning, and follow-up delivered alongside your chronic-care programs — without requiring a psychiatrist on staff.

CPT 99484
What It Is

Behavioral Health Integration pays for a collaborative-care-style model in which behavioral health screening, a care plan, and regular follow-up are coordinated by a care manager working with the treating provider — often without an on-site psychiatric specialist required for the general BHI code.

For most primary care and chronic-care practices, untreated depression and anxiety quietly undermine every other care-management effort: a patient who is depressed is less likely to take medications, keep appointments, or engage with monitoring. BHI closes that gap systematically instead of leaving it to chance.

What's included

  • Validated screening tool administration & tracking (PHQ-9 and similar)
  • Behavioral health care plan development
  • Monthly follow-up contact & symptom tracking
  • Coordination with the treating provider on treatment response
  • Referral coordination to behavioral health specialists when needed
  • Documentation aligned to the 20-minute monthly minimum
Who Qualifies
  • Patient has (or is screened for) a behavioral health condition such as depression or anxiety
  • Provider directs a behavioral health care plan
  • Ongoing monthly monitoring and follow-up is clinically appropriate
  • Patient consents to the service
Eligibility is confirmed by your clinical team — Elixir verifies documentation, not medical necessity.
CodeDescription
99484General BHI, minimum 20 min clinical staff time per month
Common Questions

Behavioral Health Integration, answered plainly

Do we need a psychiatrist to offer this?+
No — the general BHI code is designed for primary care and chronic-care settings without an on-site psychiatric specialist, using a structured care-manager model under the treating provider's direction.
How does this interact with CCM?+
BHI and CCM can both be billed for the same patient in the same month when the services are distinct and separately documented, which is common since many chronic-care patients also carry a behavioral health diagnosis.
What screening tools do you use?+
We work with your clinical team's preferred validated tools — commonly the PHQ-9 for depression and GAD-7 for anxiety — and track results over time as part of the care plan.
Pairs Well With

Related services

Next Step

See BHI modeled on your own patient panel

Bring your panel size and payer mix to a 60-minute opportunity session and leave with a specific, numbers-based program design.

Session Agenda

  1. Patient population & payer mix
  2. Current BHI activity, if any
  3. EHR & documentation workflow
  4. Staffing & device strategy
  5. Pilot design for this service
  6. Your clinic-specific opportunity model