CCM Continuity of Care

(Last Updated On: July 11, 2017)

CPT 99490 has many scope of services requirements (e.g., consent forms, face-to-face enrollment, electronic care plan, clinic staff), however some are less well defined. Continuity of care is a loose requirement under which the CCM patient must be able to obtain regular appointments with the Chronic Care Management billing provider. The specific scope of service requirement is that the patient should receive as part of CCM:

Continuity of care with a designated practitioner or member of the care team with whom the patient is able to get successive routine appointments