99439

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    Wiki HMSA QUEST denies all CCM Codes

    Claims under HMSA Quest with CPT codes 99490 and 99439 have been denied, despite these codes being listed in both the Medicaid Fee Schedule and the HMSA Quest Physician Fee Schedules. Other Medicaid contracted payers, such as Alohacare Quest, Ohana Quest, and UHC Quest, reimburse these codes...
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    Wiki 99458 RPM / 99439 CCM

    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 same 15 minute rule is applicable, is this correct? RPM - Remote Patient Monitoring threshold...
    • mccoyheather
    • Thread
    • 99439 99457 99458 99490 ccm ccm time threshold chronic care management remote patient monitoring rpm time threshold
    • Replies: 5
    • Forum: E/M
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    Wiki Medicare CCM codes 99490 vs Care Management codes 98966,67,68

    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 telehealth codes 98966,98967,98968 for PDCM eligible patients with BCBS, BCBS Medicare...
    • STKrueger
    • Thread
    • 98966 98967 98968 99439 99490 care management ccm chronic care management pdcm
    • Replies: 0
    • Forum: Billing/Reimbursement
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