CPT^® 99490, Under Chronic Care Management Services

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.

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Summary

The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the patient at significant risk of death, acute exacerbation, decompensation, or functional decline. Use this code for the first 20 minutes of provider–directed clinical staff time per calendar month.

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CCM and BCBS ccm reimbursement chronic care management

Is anyone seeing denials from BCBS for chronic care management where nothing else is billed on the same day but the denial is that the 99490 is "incidental to itself??" If so, how are you handling the... [ Read More ]

99458 RPM / 99439 CCM 99439 99457 99458 99490 ccm ccm time threshold chronic care management remote patient monitoring rpm time threshold

CCM - Chronic Care Management threshold time is met at 15 minutes for the first 20 minutes. When "each additional" 20 minutes is met 99439 what is the minimum threshold? Provider(s) are stating is the... [ Read More ]

Chronic Care Management

[QUOTE="wpienaar, post: 509553, member: 73295"] I work in a pediatric office and we employ several RN's who manage patients with chronic conditions. I would like to report this care with the chronic c... [ Read More ]

Chronic Care Management

I work in a pediatric office and we employ several RN's who manage patients with chronic conditions. I would like to report this care with the chronic care management codes 99487, 99489 and 99490, 994... [ Read More ]

Medicare CCM codes 99490 vs Care Management codes 98966,67,68 98966 98967 98968 99439 99490 care management ccm chronic care management pdcm

Hello, I have been coding Chronic Care Management for almost 4 years. We use codes 99490 and 99439 (and rarely 99487). Within the past almost 2 years we have become PDCM certified so we began billing... [ Read More ]

billing RPM and CCM services for hospice patients billing chronic care management coding hospice remote patient monitoring

Hello I have a few questions in regards to billing RPM and CCM services with patients who are enrolled in hospice; 1) Should patients in hospice be billed for this service at all? 2) If a patient has... [ Read More ]

99490 VS G0181

Hi there, do you mean 99374-99375? 99490 is a CCM code and is performed by supervised clinical staff. 99374-99375 are listed as invalid under the Medicare physician fee schedule. [URL='https://select... [ Read More ]

99490 VS G0181

Can someone please outline the differences between codes 99490 and G0181. As I'm understating, these codes are somewhat interchangeable and the use of either depends on the carrier who we are submitti... [ Read More ]

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