Chronic care management (CCM) service codes and instructions for reporting these services have undergone refinements to more accurately identify the work and resources of these services since the initial CCM codes were added to Current Procedural Terminology (CPT®) in 2013. This continues in 2021 and additional refinements are likely in 2022. These refinements bring additional opportunities for pediatricians to gain payment for care management services. However, understanding the key differences in the services reported with each code for CCM services is important to correct coding and appropriate payment.

In 2021, the total time of service and type of clinician whose time was spent providing CCM services continue to be deciding factors in determining which codes (99487, 99489, 99490, 99439, 99491) are reported. Note: 99439 is reported only for services provided on or after January 1, 2021.

Time for codes 99487...

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