CPT 99454 (Data Transmission/Device): $69.98 every 30 days
CPT 99457 (Treatment Management Services – Monitoring for 20 minutes): $55.39 each month
CPT 99458 (Additional monitoring for 20 minutes X2): $44.59 each month
CPT 99091 (Analysis and Interpretation): $60.99 every 30 days
2022 CCM CPT Billing Codes
CPT 99490 (Initial 20 minutes of care): $48.65 each month
CPT 99491 (Initial 30 minutes of care): $96.40
CPT 99487 (Additional 60 minutes): $108.64 each month
CPT 99489 (Additional 30 minutes): $52.75 each month
Key Billing Notes
CPT codes 99487, 99489, and 99490 – Time spent directly by the billing practitioner or clinical staff counts toward the threshold clinical staff time required to be spent during a given month.
CPT code 99491 includes only time that is spent personally by the billing practitioner. Clinical staff time is not counted towards the required time threshold for reporting this code.
The billing practitioner cannot report both complex and regular (non-complex) CCM for a given patient for a given calendar month. In other words, a given patient receives either complex or non-complex CCM during a given service period, not both.
Do not report 99491 in the same calendar month as 99487, 99489, 99490.
