CCM Eligibility Requirements
CCM provides non-face-to-face care coordination for patients with multiple chronic conditions. The patient must have at least two chronic conditions expected to last 12 months or longer that place the patient at significant risk of death, acute exacerbation, or functional decline.
CCM Diagnoses
All qualifying ICD-10 codes.
164 ICD-10 codes qualify patients for Chronic Care Management. Filter by specialty or category, or search by code.
By Specialty
CCM codes by medical specialty.
FAQ
CCM eligibility questions.
What ICD-10 codes qualify patients for CCM?
CCM (Chronic Care Management) qualifying diagnoses are listed in the directory below. Patients must have at least two chronic conditions expected to last 12+ months.
How does CCN Health help with CCM patient eligibility?
CCN Health reviews your patient population to identify qualifying diagnoses, handles enrollment documentation, and manages ongoing CCM services including clinical monitoring, care coordination, and Medicare billing — typically launching within 1 week.
Can CCM be billed alongside other Medicare programs?
CCM cannot be billed with PCM in the same month. However, CCM can be billed alongside RPM, BHI, and RTM.