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April 22, 2026Psychiatric Services

When Billing Codes Fall Short: Unbillable Time in Collaborative Care for Co-occurring Opioid Use and Mental Health Conditions

Rebecca L. Weir Lia Pak Colleen McCullough Grace Hindmarch Sapna J. Mendon Beth Ann Griffin Katherine E. Watkins Alex R. Dopp

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Key Points

The aim is to address the inadequacy of current billing codes for collaborative care in treating patients with both opioid use and mental health conditions.
Analysis of existing billing codes
Evaluation of current reimbursement practices
Identifying gaps in support for complex patient care
Current billing codes do not fully reimburse collaborative care efforts.
Modifications to billing codes could improve care quality for co-occurring conditions.
Enhanced reimbursement may lead to better patient engagement and outcomes.

Implication

Policymakers should modify billing codes to improve care for complex co-occurring conditions, suggesting enhanced reimbursement strategies.

Abstract

Policymakers should consider modifying CoCM billing codes to adequately reimburse efforts to engage and serve this complex patient population.

Discussion

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Cite This Study

Weir et al. (2026) studied this question.

synapsesocial.com/papers/69eb0b8d553a5433e34b53ce https://doi.org/10.1176/appi.ps.20250715

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Reimbursement Potential of Collaborative Care Model (CoCM) Billing Codes for Opioid Use Disorder Co-Occurring with Mental Disorders: Descriptive Estimates from a Pragmatic TrialClinical Trial · 2026 · 1 citations
2Variation in Use of Psychiatric Collaborative Care Model Codes and Episodes of Care for Commercially Insured IndividualsOriginal Research · 2026 · 1 citations
3A Qualitative Study of Patients’ Experiences With Collaborative Care for Co-occurring Opioid Use and Mental Health Disorders in Primary CareQualitative Study · 2025 · 2 citations
4Mental Health Treatment Utilization Among Patients Receiving Collaborative Care for Co-occurring DisordersRCT · 2026 · 1 citations
5What is Collaborative Care? Reexamining the Principles of Collaborative Care Through Scaling to Complex Populations and SettingsOriginal Research · 2026

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