What is CCM (Chronic Care Management)?
Chronic Care Management (CCM) are non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more), significant chronic conditions.
What is considered a Chronic Condition?
Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States.
What are some Chronic conditions?
CCM vs. RPM
CCM focuses on behavior change coaching for Medicare patients with two or more chronic conditions. This increases a patient's access to health care, while decreasing delivery costs. RPM allows patients to use connected medical devices to perform routine tests and send the data to health care professionals.
Who can use Chronic Care Management Marketing from List2u?
Billable CCM CPT codes:
HCPCS G0506 - Comprehensive Assessment & Care Planning
Patient enrolled in person
Systematic assessment & care planning personally performed by the billing provider
Add-on code to the standard E&M code (99212-99215), AWV or IPPE initiating visit
CPT G0511 - FQHC/RHC Chronic Care Management
CPT 99453, 99454, 99457 and 99458 - Remote Patient Monitoring
CPT 99490 - Standard CCM
20+ minutes of care management outside of office visits performed by clinical staff
Care plan established and regularly reviewed
CPT 99439 - Non-complex Add-on (New in 2021)
Was previously HCPCS G2058 in 2020
Additional 20 minutes of “non-complex” CCM
Reportable up to 2x per month (after 99490)
CPT 99487 - Complex CCM
60+ minutes of care management outside office visits
Care plan created and/or significantly revised
CPT 99489 - Complex Add-on
Billed incrementally for each additional 30 minutes spent beyond the first 60 minutes for Complex CCM case
CPT 99491 - Physician-provided CCM
30+ minutes of care management outside of office visits
Provided personally by a physician or other qualified healthcare professional
CPT 99495 and 99496 - Transition Care Management
CPT 96160 and 96161 - Risk and Screening Assessments
What CMS.gov says: ==>