CPT 99491 is billed to the patient receiving non-complex CCM service, for first 30 minutes that are provided personally by a physician or other qualified health care professional, multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient. These chronic conditions place the patient at risk of death, acute exacerbation/decompensation and functional decline. Chronic care management services include the establishment, implementation, revision, and monitoring of a comprehensive patient care plan.
