Chronic Care Management Services

MLN number MLN909188 · edition June 2025 · 13 pages

A CMS Medicare Learning Network (MLN) booklet: CMS’s plain-language guide to billing Medicare for this service. It summarizes CMS policy; it is not a regulation or coverage determination. Checked against cms.gov on Oct 15, 2026.

Read the booklet on cms.gov

Topics

• Chronic Care Management Services (p. 1–2)
• CCM Service Elements: Highlights (p. 3)
• CCM Service Practitioners (p. 4)
• Supervision (p. 4)
• Patient Eligibility (p. 5)
• Initiating Visit (p. 5)
• Patient Consent (p. 6)
• Electronic Recording of Patient Health Information (p. 6)
• Comprehensive Care Plan (p. 6)
• Medical Decision-Making (p. 7)
• 24/7 Access to Care & Care Continuity (p. 7)
• Comprehensive Care Management (p. 7)
• Manage Care Transitions (p. 8)
• Concurrent Billing (p. 8)
• CCM Codes (p. 9–10)
• Other Care Management Services (p. 11–12)
• Resources (p. 13)

Codes in this booklet

CPT

90951 (p. 8), 90970 (p. 8), 99424 (p. 11), 99425 (p. 11), 99426 (p. 11), 99427 (p. 11), 99437 (p. 8, 10), 99439 (p. 4, 8, 10), 99487 (p. 4, 8, 10), 99489 (p. 4, 8, 10), 99490 (p. 4, 8, 10), 99491 (p. 8, 10), 99495 (p. 8, 12), 99496 (p. 8, 12)

HCPCS Level II

G0019 (p. 12), G0022 (p. 12), G0023 (p. 12), G0024 (p. 12), G0140 (p. 12), G0146 (p. 12), G0181 (p. 8), G0182 (p. 8), G0506 (p. 5), G0556 (p. 11), G0557 (p. 11), G0558 (p. 11), G3002 (p. 10), G3003 (p. 10)