CPT 99490: Chronic Care Management
Documentation Requirements
- Comprehensive care plan for all chronic conditions
- Patient consent documented (verbal or written)
- At least 20 minutes of clinical staff time per month
- Care coordination activities documented with time
- Electronic care plan accessible to all treating providers
Billing Tips
- Requires 2+ chronic conditions expected to last 12+ months
- Patient consent required before first billing
- Only one provider may bill CCM per patient per month
- Document cumulative time — must reach 20 minutes
- Can be billed alongside face-to-face E&M visits
- Complex CCM (99487) requires 60+ minutes
Frequently Asked Questions
What qualifies a patient for CCM?
Patients must have two or more chronic conditions expected to last 12+ months that place them at significant risk of death, acute exacerbation, or functional decline. Scribeable helps track qualifying conditions.
How does Scribeable support CCM documentation?
Scribeable helps document care coordination activities, tracks cumulative monthly time, generates comprehensive care plans, and ensures all CCM requirements are met for proper 99490 billing.