CPT 99490 refers to chronic care management services that are essential for patients with multiple chronic conditions. This code is utilized to document the first 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional in a calendar month.

2018年2月27日 · To bill for CPT 99490, providers must: Document at least 20 minutes of non-face-to-face time spent by clinical staff providing Chronic Care Management (CCM) services within a given month. Record key details, including the date, time spent, name of the provider, and services performed.

We assign CCM codes describing clinical staf activities (CPT 99487, 99489, and 99490) as general supervision under the Medicare PFS. General supervision means when the billing practitioner doesn’t personally provide the service, it’s …

For example, CPT code 99490 cannot be billed to the PFS for services provided to SNF inpatients or hospital inpatients in Medicare Part A covered stays, because the facility is being paid under Part A for extensive care planning and care coordination services.

2025年1月15日 · Under CPT 99490, clinical staff supervised by a physician or other qualified healthcare professional can perform CCM for billing purposes. CPT 99491 compensates physicians or other qualified healthcare professionals for time spent on CCM-related care and requires them to provide such care personally .

2022年8月16日 · • CPT code 99491 – CCM services provided personally by a physician or other qualified health care professional, at least 30 minutes of physician or other qualified health care professional time, per calendar month

CPT code 99490 - non-complex CCM is a 20-minute timed service provided by clinical staff to coordinate care across providers and support patient accountability.

The Current Procedural Terminology (CPT ®) code 99490 as maintained by American Medical Association, is a medical procedural code under the range - Chronic Care Management Services. Subscribe to Codify by AAPC and get the code details in a flash.

2022年4月11日 · CPT Code 99490 reimburses time spent by clinical staff — under the direction of a physician or QHP — of care coordination for patients with two or more non-complex chronic conditions. Code 99490 covers 20 minutes of time for non-face-to-face care, per patient per month (PPPM).

CPT 99490 covers chronic care management services for qualified patients. Understanding CCM 99490 billing requirements can help you ensure your clinic receives reimbursement for your CCM services. Continue reading to learn more about CCM 99490.