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Chronic Care Management

Eligibility to bill Medicare for chronic care management services

Part 2: Eligibility to bill Medicare for chronic care management services

These practitioners can bill for chronic care management (CCM):*

  • Physicians
  • Certified nurse midwives
  • Clinical nurse specialists
  • Nurse practitioners
  • Physician assistants

* CMS limits the number of practitioners who can bill for CCM services in a calendar month to one practitioner.

A goal to reduce administrative work

In January 2017, CMS released a revised set of chronic care management billing requirements, with the goal of reducing administrative work. In addition to CPT 99490, CMS added CPT 99487 and CPT 99489 to appropriately recognize and pay for complex chronic care management.