PCM · Behavioral Health
PCM Qualifying Diagnoses
for Behavioral Health.
2 ICD-10 codes qualify behavioral health patients for Principal Care Management (PCM).
Qualifying Codes
ICD-10 codes for behavioral health.
Depression
2 codesMajor depressive disorder, single episode, severe without psychotic features
PHQ-9 monitoring; high suicide risk requires close follow-up
Major depressive disorder, single episode, severe without psychotic features
PHQ-9 monitoring; high suicide risk requires close follow-up
Major depressive disorder, recurrent, severe without psychotic features
Major depressive disorder, recurrent, severe without psychotic features
Clinical Context
Why behavioral health practices benefit from PCM.
Behavioral Health practices can leverage PCM to improve patient outcomes through structured care management, generating $97–$220+ per patient per month in Medicare reimbursement while reducing avoidable hospitalizations.
Related Conditions
Condition monitoring guides.
FAQ
Common questions.
What ICD-10 codes qualify behavioral health patients for PCM?
There are 2 ICD-10 codes that qualify behavioral health patients for Principal Care Management (PCM). These include codes across 1 diagnosis categories: Depression.
How does CCN Health support behavioral health practices with PCM?
CCN Health provides turnkey PCM services for behavioral health practices — including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support. Most practices are fully operational within 1 week.
What is the revenue potential for PCM in behavioral health?
PCM generates $68–149 per patient per month in Medicare reimbursement. Behavioral Health practices with a high prevalence of qualifying conditions can scale rapidly, especially when PCM is stacked with other eligible programs like RPM and BHI.