Administration
Chapter 1
Section 14.2
Chronic Care Management (CCM) Services
Issue Date: August
19, 2015
Copyright: CPT only © 2006
American Medical Association (or such other date of publication
of CPT). All Rights Reserved.
Revision:
1.0 CPT Procedure
Code
99490
2.0 Description
2.1 CCM services
-- at least 20 minutes of clinical staff time directed by a physician
or other qualified healthcare professional, per calendar month,
with the following required elements:
• Multiple (two or more) chronic conditions
expected to last at least 12 months or until death of the patient;
• Chronic conditions place the patient at
significant risk of death, acute exacerbation/decompensation, or
functional decline; and
• Comprehensive care plan established, implemented,
revised, or monitored.
2.2 CCM reflects
services provided over a monthly period to specified patients with
chronic health conditions who have consented to receipt of such
services.
3.0 Policy
CCM
services are not covered by TRICARE because the services are not
medically necessary as a separately itemized service.
4.0 Effective
Date
January 1, 2015.
- END -