Dr Joe and Jill spent a total of 80 minutes providing chronic care management (CCM) services. The care provided included addressing 2 established problems, with one that was not improving (failure to thrive), and ordering preoperative laboratory tests and discussion of the case with other providers; the level of risk associated with the chronic conditions and decision for elective surgery was moderate. These elements of care support moderate medical decision-making. The care plan was substantially revised to include gastrostomy tube placement and tube feedings. Based on this, code 99487 is supported by the documented complex CCM (CCCM) activities. International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes should be reported for all conditions that affected the CCM services (ie, cystic fibrosis with exocrine pancreatic insufficiency and failure to thrive).

Codes reported are

Current Procedural Terminology (CPT®)


In this scenario, CCM is supported by...

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