What does CPT code 99490 represent in CCM billing?

• A. A visit code for office visits
• B. A screen for annual wellness
• C. Chronic care management services
• D. A modifier for telemedicine

Answer: (C)

CPT 99490 is used for Chronic Care Management (CCM) services. This code reflects ongoing care coordination for patients with multiple chronic conditions, not a one-time office visit. To bill 99490, there must be at least 20 minutes of clinical staff time directed by a physician or other qualified health professional in a calendar month, and the patient must be enrolled in a CCM program. Time spent includes non-face-to-face activities like care planning, updating the care plan, coordinating with other providers, reviewing test results, and communicating with the patient and caregivers. It’s distinct from an office visit code (which are for in-person visits), from annual wellness screening codes (which cover preventive screening), and from a telemedicine modifier (which adjusts how a service is delivered rather than what the service is).