The chronic care management program was virtually untouched by the 2021 Final Rule from CMS. There are three main CPT codes and two add-on CPT codes in 2021 that may be billed by primary care providers for CCM services.
Requirements for CCM:
Non-Complex CCM:
- Two or more chronic conditions expected to last at least 12 months (or until the death of the patient)
- Patient consent (verbal or signed)
- Personalized care plan in a certified EHR and a copy provided to the patient
- 24/7 patient access to a member of the care team for urgent needs
- Enhanced non-face-to-face communication between patient