CMS Care Coordination Codes

Care coordination is a vital element for value-based care, and it's here to stay. For now, Fee For Service (FFS) models grant payments through a growing family of codes. Here's a quick look at the codes available:

Chronic Care Management

• 99490 CCM 20 minutes

• 99487 Complex 60 minutes

• 99489 Complex Additional 30 minutes

• G0511 CCM for RHC/FQHC Facilities

CPC+

Annual Wellness Visits

• G0402 IPPE

• G0403 EKG for IPPE

• G0404 EKG tracing for IPPE

• G0405 EKG interpret & report for IPPE

• G0438 Initial AWV

• G0439 Subsequent AWV

Transitional Care Management

• 99495 Normal

• 99496 Complex

Advance Care Planning

• 99497 First 30 minutes

• 99498 Each Additional 30 minutes

In future posts, we can look more deeply into these categories, and we can dive more deeply into caring for the aging population.