Rationale

To address some of the shortcomings
of CCM, and to encourage higher
utilization, CMS is creating a new add-on
code for non-complex CCM (HCPCS
code G2058) that allows for second and
third 20-minute increments—resulting
in significantly more reimbursement
potential.

 

Definition

Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report G2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use G2058 in conjunction with 99490).

 

Exclusions

Do not report 99490, G2058 in the same calendar month as 99487, 99489, 99491.