The four CPT codes used to report CCM services are:
99490 non-complex CCM is a 20-minute timed service provided by clinical staff to coordinate care across providers and support patient accountability.
99487 complex CCM is a 60-minute timed services provided by clinical staff to substantially revise or establish comprehensive care plan that involves moderate- to high-complexity medical decision making.
99489 is each additional 30 minutes (cannot be billed with CPT code 99490)
99491 CCM services provided personally by a physician or other qualified health care professional for 30 minutes.
Reimbursement for CCM?
Advance Care Management
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Health Care Professionals Who May Furnish and Bill CCM
Only one health provider who assumes the care management role for a beneficiary can bill for providing CCM services to that patient in a given calendar month. While services are provided by a clinical staff person, the service must be billed under one of the following:
Clinical nurse specialist (CNS)
Nurse practitioner (NP)
Physician assistant (PA)
Certified nurse midwife
Non-physicians must legally be authorized and qualified to provide CCM in the state in which the services are furnished.