Chronic Care Management (CCM) codes are becoming increasingly popular as healthcare providers aim to improve care coordination for patients with multiple chronic conditions. A recent study reveals a significant rise in CCM services and corresponding Medicare payments, driven largely by primary care physicians.
However, challenges such as inconsistent reimbursement incentives, administrative burdens, and disparities in adoption remain barriers to maximizing CCM’s potential. Key CCM codes like CPT 99490, 99491, and more complex codes like 99487 and 99489 are used to bill for services based on the time and complexity of care provided. To ensure proper reimbursement, healthcare providers must adhere to documentation and billing guidelines while navigating these challenges to optimize the benefits of CCM for patients with chronic conditions.
