CPT-99487

For CPT 99487, the following criteria should be met:

• Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient
• Chronic conditions that lead to the risk of death, acute exacerbation/decompensation, or functional decline of patient
• Comprehensive care plan established, implemented, revised, or monitored
• Moderate or high complexity medical decision making
• 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month
• Billed once a month