In addition to the primary CPT code 99490, new codes were introduced in January 2017 which create new revenue opportunities for providers.
CPT code 99490 allows eligible care providers to bill for at least 20 minutes of non-face-to-face clinical staff time each month to coordinate care for patients with two or more chronic conditions.
• Revenue: $42/20 minutes
CPT code 99487 requires substantial revision of a care plan, moderate or high complexity medical decision making, and 60 minutes of clinical staff time.
• Revenue: $93/60 minutes
CPT code 99489 is a complex CCM add-on code to 99487 for each additional 30 minutes of clinical staff time.
• Revenue: $47/30 minutes
HCPCS code G0506 is an add-on code to the CCM initiating visit for providing a comprehensive assessment and care planning to patients.
• Revenue: $63/ one time
CPT Code 99358 is a prolonged E/M service provided by a physician before and/or after direct patient care.
• Revenue: $113/ 60 minutes
CPT code 99359 is an add-on code for prolonged E/M service provided by a physician before and/or after direct patient care (listed separately with 99358).
• Revenue: $55/ 30 minutes