Chronic Care Management

2021 CCM Codes & Reimbursement Fee Schedule
Chronic Care Management (CCM) is a new Medicare program that reimburses an additional $41-$177+ per patient per month for the support you and your staff regularly provide patients between visits, e.g. answering questions, refills, referrals, labs, follow-up phone calls, etc.
  • HCPCS G0506 - Comprehensive Assessment & Care Planning $62

    • Patient enrolled in person
    • Systematic assessment & care planning personally performed by the billing provider
    • Add-on code to the standard E&M code (99212-99215), AWV or IPPE initiating visit

  • CPT 99490 - Standard CCM $41

    • 20+ minutes of care management outside of office visits performed by clinical staff
    • Care plan established and regularly reviewed
    • RHCs and FQHCs should bill HCPCS G0511 instead

  • CPT 99439 - Non-complex Add-on (New in 2021) $38 x 2

    • Was previously HCPCS G2058 in 2020
    • Additional 20 minutes of “non-complex” CCM
    • Reportable up to 2x per month (after 99490)

  • CPT 99487 - Complex CCM $92

    • 60+ minutes of care management outside office visits
    • Care plan created and/or significantly revised

  • CPT 99489 - Complex Add-on $44

    • Billed incrementally for each additional 30 minutes spent beyond the first 60 minutes for Complex CCM case

  • CPT 99491 - Physician-provided CCM $82

    • 30+ minutes of care management outside of office visits
    • Provided personally by a physician or other qualified healthcare professional

Download our FREE CCM Billing Codes Summary

BONUS: Learn how avoid 3 major CCM mistakes.

A typical provider can enroll 250 CCM patients and generate $125,000+ per year.

However, most practices actually lose money because they simply do CCM wrong.