Reporting Chronic Care Management Services (99491) (October 2018)

October 2018 pages 9-10 Reporting Chronic Care Management Services (99491) Currently, in 2018, there is no specific Current Procedural Terminology (CPT®) code to report chronic care management of at least 30 minutes per calendar month that is provided personally by a physician or qualified health care professional (QHP). For 2019, new code 99491 should be used to report the chronic care management of at least 30 minutes per calendar month with the establishment, implementation, revision, or monitoring of a comprehensive care plan provided personally by a physician/QHP. In addition, the chronic care management services guidelines have been revised...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article explains an upcoming CPT update for chronic care management services and outlines the broad reporting, documentation, and practice workflow topics associated with the change. It is intended for coders, billers, compliance staff, and clinical documentation teams who need to understand how the 2019 guidance affects chronic care management reporting and related service coordination.

Why This Topic Matters

Chronic care management services are frequently reported in primary care and other care-coordination settings, so updates to the applicable CPT guidance can affect compliant reporting, documentation readiness, and internal practice processes.

Article Sections

  1. October 2018 pages 9-10

    Publication and issue context for the article.

  2. Reporting Chronic Care Management Services (99491)

    Overview of the 2019 chronic care management update, including the new service framework and related reporting context.

  3. Coding Tip

    Brief guidance notes summarizing reporting considerations for the updated chronic care management topic.

  4. Clinical Example (99491)

    Illustrative patient scenarios used to show the type of care management situations addressed by the article.

  5. Description of Procedure (99491)

    Detailed discussion of the service framework, documentation expectations, and practice capabilities associated with the code update.

  6. Reporting Chronic Care Management Services (99491). CPT® Assistant. 2018; October 2018 pages 9-10

    Source citation and publication reference for the article.

What You Will Learn

  • How the article frames the 2019 chronic care management update
  • What broad reporting topics are associated with physician/QHP-performed care management
  • What kinds of documentation and practice-process areas are discussed
  • How the article uses clinical examples to illustrate the service context

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practices
  • Qualified health care professionals
  • Documentation specialists

Codes Discussed


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