What Chronic Care Management is
CCM covers the work between visits: care plan updates, medication management, coordinating with specialists, and check-in calls. Patients qualify with two or more chronic conditions expected to last at least 12 months, or until death. Those conditions must put the patient at significant risk of death, acute decompensation, or functional decline.
Billing is time-based. CPT 99490 covers the first 20 minutes of clinical staff time, about $66 in 2026, and 99439 each additional 20, about $50. CPT 99491 covers 30 minutes of practitioner time, about $89. Complex CCM, 99487, covers 60 minutes, about $144. These are national non-facility amounts and vary by locality.
Consent comes first. The patient must be told the service is available and that cost-sharing applies. They must also hear that only one practitioner can bill CCM per month, and they can stop anytime. Rivvi can find likely eligible patients in an uploaded panel and run enrollment outreach, then hand interested patients to staff for consent.