G0181 or G0182 (home health care supervision, hospice care supervision) or CPT codes 90951–90970 (certain ESRD services) You can report CCM codes 99487, 99489, 99490, and 99491 by the same practitioner for services
Aug 16, 2022 · What chronic care management codes are currently billable under the PFS? Under the Physician Fee Schedule, Medicare will pay for: • CPT codes 99487 – complex CCM, first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month
CCM is the provision of care management and coordination services to patients with two or more chronic conditions. Examples of chronic conditions include, but are not limited to: Alzheimer’s disease and related dementia
This document answers frequently asked questions about billing chronic care management (CCM) services to the Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (OPPS) under CPT code 99490.
Care Management | CMS - Centers for Medicare & Medicaid Services
Nov 27, 2024 · Care Management What's New Frequently asked questions (PDF) about services to help address health-related social needs in the 2024 Physician Fee Schedule final rule:
I. Care Management Services – General Q1. What are care management services? A1. Care management services in RHCs and FQHCs include the following 4 services: • Transitional care management (TCM) • Chronic care management (CCM) • General behavioral health integration (BHI) • Psychiatric Collaborative Care Model(CoCM) Q2.
Advanced Primary Care Management Services | CMS - Centers for …
Jan 1, 2025 · Individual care management codes have time-based billing requirements, where you need to document every minute you spend on care management, and you must meet certain thresholds each month to bill those services.
Feb 18, 2015 · • Overview of chronic care management (CCM) services under the CY 2015 Medicare Physician Fee Schedule (PFS) • Overlap with CMS demonstration and other initiatives
We added more CPT codes that can be billed concurrently with transitional care management services (pages 7–11). Substantive content changes are in dark red.
For billing details for RHCs and FQHCs, see the Chronic Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Frequently Asked Questions and Care Coordination Services and Payment for RHCs and FQHCs.