CPT Code 99424: Under Principal Care Management Services

Yes. Nurse practitioners (NPs) and physician assistants (PAs) qualify as eligible billing practitioners who can report CPT 99424 when personally providing principal care management services.

No. Principal care management (PCM) services under 99424 cannot be billed concurrently with chronic care management (CCM) services (99490 series) for managing the same condition in the same month.

No. CPT code 99424 primarily covers non-face-to-face activities, such as care plan management, medication adjustments, and patient communications. However, the patient’s consent and an initiating face-to-face visit within the preceding year are typically required.

CPT code 99424 represents PCM services personally performed by a physician or other qualified healthcare professional. In contrast, 99426 refers to PCM services provided primarily by clinical staff under the supervision of a qualified health care professional.