Patient Eligibility
Requirements to bill:
Patient may only receive CCM services from one (1) provider each month
Must be “active patient” - one qualifying evaluation & management (99212-99215, etc.), Annual Wellness Visit (AWV) or Initial Preventive Physical Examination (IPPE) code billed in the past 12 months
Cannot be concurrently billed with:
Home Health Care Supervision (HCPCS G0181)
Hospice Care Supervision (HCPCS G0182)
Certain ESRD Services (CPT 90951-90970)
CCM Billing Codes
Need help?
Contact our Support Team at support@phamily.com, or click the question mark in Phamily, for assistance.