Table 1.

Chronic Care Management (CCM) Billing Codes.

Billing code	Requirements
Code G0506 = ~$63Comprehensive assessment of and care planning by the physician or other qualified health care professional for patients requiring chronic care management services.	Practitioners who furnish a CCM initiating visit and personally perform extensive assessment and CCM care planning outside of the usual effort described by the initiating visit code may also bill HCPCS code G0506Billable once per CCM billing practitioner, in conjunction with CCM initiation
Code 99490 = ~$42Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month	Multiple (2 or more) chronic conditions expected to last at least 12 months, or until the death of the patientChronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline
Code G2058 = ~$37Each additional 20 minutes of clinical staff time in CCM	Must have billed 99490Billable a maximum of twice per monthCovers minutes 21-60
Code 99487 = ~$93Complex chronic care management services, at least 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month	Alternative to 99490; may not bill bothModerate or high complexity medical decision making
Code 99489 = ~$46Each additional 30 minutes of clinical staff time in Complex CCM	Must also bill 99487 that monthMay be billed multiple times