Chronic Care Management (CCM) Billing
Chronic care management (CCM) billing reimburses practices for coordinating ongoing care for patients with two or more chronic conditions. Consent, a comprehensive care plan and monthly time tracking are required, and gaps in documentation are a common cause of denials.
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What CCM Billing Covers
Patient eligibility (two or more chronic conditions)
Patient consent documentation
Comprehensive care plan
Monthly clinical staff time tracking
Care coordination documentation
Monthly claim submission
Denial follow-up
Program reporting
For More Info
Common CCM Billing Codes
✅ Frequently Billed Services
| CPT Code | Description |
|---|---|
| 99490 | CCM, first 20 minutes of clinical staff time per month |
| 99439 | CCM, each additional 20 minutes |
| 99491 | CCM by a physician or qualified professional, first 30 minutes |
| 99487 | Complex CCM, first 60 minutes |
| 99489 | Complex CCM, each additional 30 minutes |
We help you set up consent, care plan and time-tracking workflows that stand up to payer review. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for CCM practices.
