Billing

Chronic Care Management (CCM)

Chronic Care Management

Care management services for Medicare beneficiaries with two or more chronic conditions; billed monthly under CPT 99490 and related codes.

1 min read · Last reviewed May 23, 2026

At a glance

Category
Billing
Acronym for
Chronic Care Management
Primary sources
1
Workspace handoff
revenue audit

Where this comes up

This shows up in revenue-cycle work — claim scrubbing, charge entry, posting, A/R follow-up, and month-end close. Billers and practice managers hit this term when reconciling a payment, working a denial queue, or auditing why a claim aged past 60 days.

Full definition

What it is in practice

CMS CCM requires 20+ minutes per calendar month of non-face-to-face care management for patients with two or more chronic conditions expected to last 12 months or risk of significant decline. Beneficiary consent must be obtained.

How it shows up in your practice

CCM is a recurring revenue line that depends on disciplined time tracking and a written care plan. Document the time, the activities, and the consent.

Sources

Take it into the workspace

Track CCM enrollment in Revenue Audit

Open revenue audit
Authored by D3rx

D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.

Reviewer status: a named credentialed reviewer (CHC, CHPC, or healthcare attorney) is being engaged. Until that engagement is finalized, this page does not claim credentialed review.

This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.