DecisionHealth, DecisionHealth - 2017 Issue 7 (July)

Ortho, other specialties can bill CCM but watch the coding fine print

Question: We've had a request from one of our physicians to report chronic care management (CCM) code 99490 using osteoarthritis as one of the qualifying factors. Has anyone used this in the orthopedic setting? The CCM guidelines mention three conditions that must be met to bill, and I’m wondering if the patient has to meet all three of the criteria and not just some or part of it.

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