๐ In This Article
What Is Chronic Care Management?
CMS created the Chronic Care Management (CCM) benefit in 2015 to reimburse physicians for at least 20 minutes per month of non-face-to-face care coordination services for Medicare patients with two or more chronic conditions expected to last at least 12 months.
CCM Reimbursement Rates
| CPT Code | Description | Medicare Rate (2025) |
|---|---|---|
| 99490 | 20 min CCM, first 20 min | ~$62/month |
| 99439 | Add-on: each additional 20 min | ~$48/month |
| 99491 | 40+ min CCM, physician-directed | ~$84/month |
CCM Revenue Potential
A practice with 200 CCM-eligible patients enrolled at $62/month = $12,400/month in additional revenue. With 500 enrolled patients, that's $31,000/month โ $372,000 annually โ for care coordination that also improves patient outcomes.
CCM Eligibility Requirements
- Medicare beneficiary (Part B)
- Two or more chronic conditions expected to last 12+ months
- Conditions that place patient at significant risk of death, acute exacerbation, or functional decline
- Written consent to participate in CCM program
How VMAs Deliver CCM Services
The 20 monthly minutes of CCM can be provided by clinical staff under physician supervision. A VMA with clinical training can make CCM care coordination calls, document time spent, manage care plans, and coordinate between providers โ creating a scalable CCM program that generates revenue while improving patient outcomes.