# Collaborative Care (CoCM) Glossary: BHCM, Registry, 99492, G2214 and More | Asendar™

> Plain definitions of Collaborative Care (CoCM) terms: behavioral health care manager, psychiatric consultant, registry, measurement-based care, 99492, 99493, 99494, G2214 and the time rule.

Glossary

# Collaborative Care (CoCM) glossary

Last updated October 29, 2026

Quick answer

Collaborative Care (CoCM) is a primary care team model: a treating practitioner, a behavioral health care manager (BHCM) and a psychiatric consultant share a registry and use rating scales such as the PHQ-9. Medicare pays for it by care-manager minutes per month with 99492, 99493, 99494 and G2214.

**What Asendar is:** New tools for therapists. Asendar is a new category of therapy tool, a new way of seeing the problem. It does not replace your notes, your assessments or your EHR; it adds real insight from real conversations. Collaborative Care is one way clinics use it.

## Terms

Conversation-based therapy toolA new category of therapy tool that gains insight from real conversations patients have between visits, rather than only from notes, rating scales or chart documents. It does not replace the therapist's notes, assessments or EHR; it adds what they cannot capture. Asendar is built in this category: patients have honest conversations with AI, and the care team sees what they say and how it changes over time.

Collaborative Care (CoCM)A team model for treating behavioral health conditions in primary care: a treating practitioner, a behavioral health care manager and a psychiatric consultant work from a shared registry and validated rating scales. Medicare pays for it with CPT 99492, 99493 and 99494 and HCPCS G2214.Behavioral health care manager (BHCM)The care team member who follows each Collaborative Care patient between visits, runs the rating scales, keeps the registry current and meets with the psychiatric consultant. Their minutes are what the CoCM codes count.Psychiatric consultantA psychiatrist or other qualified prescriber who reviews the Collaborative Care caseload with the care manager on a regular schedule and advises the treating practitioner, usually without seeing the patient.Treating (billing) practitionerThe physician or other qualified practitioner who directs the patient's care, makes the initiating visit and bills the CoCM codes.RegistryA list of every patient enrolled in Collaborative Care with their scores, contacts and minutes, used to decide who needs attention. It can be a spreadsheet or software.Caseload reviewA regular meeting in which the care manager and the psychiatric consultant go through the registry, focusing on patients who are not improving.Measurement-based careUsing validated rating scales, such as the PHQ-9 and GAD-7, at regular intervals to guide treatment decisions.PHQ-9A nine-question, validated depression questionnaire scored 0 to 27, widely used for screening and follow-up in Collaborative Care.GAD-7A seven-question, validated anxiety questionnaire scored 0 to 21.CPT 99492The first month of Collaborative Care: first 70 minutes of care-manager time, reportable from 36 minutes.CPT 99493Each later month of Collaborative Care: first 60 minutes of care-manager time, reportable from 31 minutes.CPT 99494An add-on to 99492 or 99493 for each additional 30 minutes of care-manager time, reportable once 16 minutes of the extra block have passed.HCPCS G2214A Medicare code for the first 30 minutes of Collaborative Care in a first or later month, reportable from 16 minutes; not billed with 99492, 99493 or 99494 in the same month.Time rule (50 percent plus one)The CPT convention that a unit of time is met once more than half of it has passed: 36 of 70 minutes, 31 of 60, and 16 of 30.Initiating visitA qualifying visit with the billing practitioner before Collaborative Care starts, such as an annual wellness visit, an initial preventive physical exam, a comprehensive evaluation and management visit or a transitional care management visit. It establishes the relationship and the assessment.

For the ten-term glossary on between-session care, see [The Gap Between glossary](https://www.asendar.com/gap/glossary).

## Related

- [Best Collaborative Care (CoCM) software for small clinics](https://www.asendar.com/best-cocm-software)
- [CoCM billing checklist (2026)](https://www.asendar.com/cocm-billing-checklist)
- [Free CoCM billing calculator](https://www.asendar.com/tools/cocm-billing-calculator)
- [Free CoCM registry template](https://www.asendar.com/tools/cocm-registry-template)
- [How to start Collaborative Care in 30 days](https://www.asendar.com/how-to-start-cocm)
- [Billing codes 99492, 99493, 99494 and G2214 explained](https://www.asendar.com/collaborative-care/billing-codes)
- [CoCM registry setup checklist](https://www.asendar.com/collaborative-care/registry-checklist)
- [Asendar vs NeuroFlow](https://www.asendar.com/compare/asendar-vs-neuroflow)
- [Asendar vs Mirah](https://www.asendar.com/compare/asendar-vs-mirah)
- [Asendar vs ThoroughCare](https://www.asendar.com/compare/asendar-vs-thoroughcare)
- [CoCM minutes: spreadsheet vs registry software](https://www.asendar.com/compare/cocm-spreadsheet-vs-software)

Published by Asendar™ (Ignite Synergy™). Education only, not medical, legal or billing advice. Payers set their own rules: verify with your payer and your Medicare Administrative Contractor before you bill.

## Run Collaborative Care in Asendar™

A registry, care-manager minutes per patient per month, PHQ-9 and GAD-7 follow-ups and a monthly billing packet, in one place. $199 a month or $2,000 a year per clinic, with a 15-day free trial, no card needed.

[Start 15-day free trial](https://asendar.app/onboarding?utm_source=asendar.com&utm_medium=website&utm_campaign=clinic-trial&utm_content=glossary)

[See Collaborative Care in Asendar](https://www.asendar.com/collaborative-care) · [Pricing](https://www.asendar.com/pricing)
