CPT code 99490: Non-complex chronic care management (CCM) services

Understand CPT code 99490 for non-complex chronic care management (CCM), including billing guide, documentation standards, and related CPT codes.

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Frequently asked questions

Clinical staff must perform CCM services under the general supervision of a physician or other qualified healthcare professional, such as a nurse practitioner or physician assistant.

Common conditions include diabetes, heart failure, depression, hypertension, and chronic kidney disease. The conditions must be expected to last 12+ months and require ongoing care.

Yes, as long as the time and services for CCM are separate and distinct from those provided during the wellness visit, and 20 minutes of clinical staff time is documented.