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WEEKEND MAINTENANCE: The maintenance outage is scheduled for June 22nd at 6:00am EST ending NLT Sunday, June 23rd at 11:59pm Eastern EST. The TRICARE Manuals web site may be available intermittently during this period but it's usage is not recommended.

TRICARE Policy Manual 6010.63-M, April 2021
Administration
Chapter 1
Section 14.2
Chronic Care Management (CCM) Services
Issue Date:  August 19, 2015
Authority:  32 CFR 199.4(g)(1)
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
1.0  CPT 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.
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