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
- CMS — Chronic Care Management Serviceshttps://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/chroniccaremanagement.pdf
Track CCM enrollment in Revenue Audit
Open revenue audit →Related terms
- BillingPrincipal Care Management (PCM)Care management for Medicare beneficiaries with a single high-risk chronic condition; billed under CPT 99424-99427.
- BillingG2211 (Visit Complexity Add-on)Medicare HCPCS add-on code recognizing the visit complexity inherent to evaluation and management services associated with primary care and certain longitudinal care.
- BillingRemote Physiologic Monitoring (RPM)Codes (CPT 99453-99458) covering the monitoring and treatment management of physiologic data transmitted from a patient's device.
- BillingTransitional Care Management (TCM)Care management following discharge from an inpatient, partial-hospital, or observation stay; CPT 99495 (moderate complexity) and 99496 (high complexity).
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Related across the archive
- GlossaryPrincipal Care Management (PCM)Care management for Medicare beneficiaries with a single high-risk chronic condition; billed under CPT 99424-99427.
- GlossaryTransitional Care Management (TCM)Care management following discharge from an inpatient, partial-hospital, or observation stay; CPT 99495 (moderate complexity) and 99496 (high complexity).
- GlossaryG2211 (Visit Complexity Add-on)Medicare HCPCS add-on code recognizing the visit complexity inherent to evaluation and management services associated with primary care and certain longitudinal care.
- GlossaryRemote Physiologic Monitoring (RPM)Codes (CPT 99453-99458) covering the monitoring and treatment management of physiologic data transmitted from a patient's device.
- GlossaryAdvance Care PlanningDiscussion and documentation of patient's goals, values, and preferences for future medical care; billable under CPT 99497 and 99498.
- GlossaryCollaborative Care Model (CoCM)Integrated primary-care behavioral-health model billable under CPT 99492-99494 and HCPCS G2214.
- GlossaryMedication ReconciliationThe process of creating an accurate list of all medications a patient is taking and comparing it against new orders to identify discrepancies.
- BillingAWV + Problem Visit Same Day: How to Bill CorrectlyYes, you can bill AWV and a problem visit the same day. Here's how to do it correctly with modifier -25.
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.