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2025 Coding Update for Chronic Care Management Codes and Case Study
Chronic care management is essential for many chronic gastrointestinal disorders. This article will introduce how to utilize chronic care management current procedural terminology (CPT) codes to assist in developing an organized process to care for your patients. The chronic care management (CCM) code set includes a structured administrative support system and a comprehensive care plan. This includes a structured recording of patient health information, comprehensive electronic care plans, and managing transitions of care to specialists or tertiary care centers.
Medigy Insights
The 2025 update reinforces that to bill under the Medicare CCM codes (such as CPT 99490/99491), a patient must have two or more chronic conditions expected to last at least a year or until death — and the provider must obtain explicit consent and document a comprehensive care plan.
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