Chronic Care Management
I have a question regarding billing for Chronic Care Management. I understand that one of the qualifying requirements for Chronic Care Management is that the patient must have multiple (at least two or more) chronic conditions; however, we have not been able to find clear guidance to indicate how may diagnosis codes need to be reported on each claim.
For example, if a provider spent a total of 23 minutes addressing only one of the multiple chronic conditions with the pharmacist and patient and reviewing the medical record and the Texas PMP –
Can the provider report code 99490 when only one of the multiple chronic conditions were addressed during that timeframe?
Or does the billing for each CCM claim (99490) need to have at least two diagnosis codes addressed in order to be billed?
If you can please clarify, we would greatly appreciate it.