CPT 99490

Chronic Care Management

Chronic care management services for patients with two or more chronic conditions expected to last at least 12 months, requiring 20 or more minutes of clinical staff time per calendar month.

20+ minutes/month
0.61 work RVU
5 requirements

Documentation Requirements

  1. 1Comprehensive care plan for all chronic conditions
  2. 2Patient consent documented (verbal or written)
  3. 3At least 20 minutes of clinical staff time per month
  4. 4Care coordination activities documented with time
  5. 5Electronic 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.

Automate CCM Documentation

Scribeable captures all required elements for CPT 99490 from your patient conversation. Generate compliant notes in seconds.

Common Diagnoses

I10E11.9J44.1I50.9E78.5

Related Specialties

primary careinternal medicinegeriatricsendocrinologycardiology

Related Procedures

CPT 992131.30 work RVU

Office Visit Level 3

Established patient office visit with low level of medical decision making.

CPT 992141.92 work RVU

Office Visit Level 4

Established patient office visit with moderate level of medical decision making.

CPT 992152.80 work RVU

Office Visit Level 5

Established patient office visit with high level of medical decision making.

CPT 992031.60 work RVU

New Patient Level 3

New patient office visit with low level of medical decision making.

CPT 99490: Chronic Care Management

Chronic care management services for patients with two or more chronic conditions expected to last at least 12 months, requiring 20 or more minutes of clinical staff time per calendar month.

Documentation Requirements

  1. Comprehensive care plan for all chronic conditions
  2. Patient consent documented (verbal or written)
  3. At least 20 minutes of clinical staff time per month
  4. Care coordination activities documented with time
  5. 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.

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