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.
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