Table 1.

Potential telehealth compensation options for pharmacists

Category	CPT code	Summary of code	Approximate reimbursement15
CCM12	99490	CCM services, at least 20 min of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements: •Multiple (2 or more) chronic conditions expected to last at least 12 months, or until the death of the patient •Chronic conditions place the patient at a significant risk of death, acute exacerbation or decompensation, or functional decline •Comprehensive care plan established, implemented, revised, or monitored assumes 15 min of work by the billing practitioner per month	$42.22
	99487	Complex CCM services, with the following required elements: •Multiple (2 or more) chronic conditions expected to last at least 12 months, or until the death of the patient •Chronic conditions place the patient at a significant risk of death, acute exacerbation or decompensation, or functional decline •Establishment or substantial revision of a comprehensive care plan •Moderate or high complexity in medical decision making •60 min of clinical staff time directed by a physician or other qualified health professional, per calendar month	$92.39
CGM13	95251	Ambulatory CGM of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 h; analysis, interpretation, and report	$36.81
Anticoagulation14	93793	Anticoagulation management for patients taking warfarin. Must include review and interpretation of a new home, office, or lab international normalized ratio test results, patient instructions, dosage adjustment (as needed), and scheduling of additional test(s), when performed	$11.91

Abbreviations used: CCM, chronic care management; CGM, continuous glucose monitoring.