APCM BHI Billing Setup Checklist | 2026 Add-on Code Guide

Configure G0568 in your EHR to trigger when basic behavioral health integration services are provided alongside base APCM.

Set up G0569 for patients requiring moderate behavioral health interventions and higher-intensity care coordination.

Enable G0570 for intensive psychiatric collaborative care, typically involving a psychiatric consultant and registry tracking.

Ensure the billing system allows G0568-G0570 to be billed concurrently with base APCM codes without triggering internal denials.

Create a reporting dashboard to monitor the minutes spent on BHI-specific tasks versus general APCM care management.

Update claim scrubber rules to verify that BHI add-ons are only submitted when a qualifying primary APCM code is present.

Use AI call handling to deliver PHQ-9 screenings via phone or SMS prior to the monthly APCM care management call.

Ensure GAD-7 screenings are automatically triggered for patients showing signs of anxiety during AI-led interactions.

Configure the AI system to alert clinical staff immediately if a patient's PHQ-9 score exceeds 10, indicating clinical depression.

Create templates that specifically document the 'behavioral health' component of the care plan to satisfy CMS audit requirements.

Use AI transcription to capture patient behavioral goals during calls and automatically update the psychiatric registry.

Ensure screenings are performed at the intervals required by the 2026 PFS final rule for BHI add-on eligibility.

Ensure a contracted psychiatrist is available for the weekly caseload reviews required for G0570 billing.

Maintain a log of all patients discussed with the psychiatric consultant, including treatment recommendations.

Assign specific staff members as BHI managers to oversee the implementation of psychiatric recommendations.

Adopt standardized protocols like CBT or PST that the BHI manager will use during patient interventions.

Audit your BHI workflows to ensure behavioral health services are provided with the same rigor as physical chronic care.

Ensure all patients billed under G0568-G0570 have provided verbal or written consent for integrated services.