CCM · Behavioral Health
CCM Qualifying Diagnoses
for Behavioral Health.
25 ICD-10 codes qualify behavioral health patients for Chronic Care Management (CCM).
Qualifying Codes
ICD-10 codes for behavioral health.
Anxiety Disorders
3 codesPanic disorder without agoraphobia
Panic disorder without agoraphobia
Generalized anxiety disorder
GAD-7 screening tool; often comorbid with depression
Generalized anxiety disorder
GAD-7 screening tool; often comorbid with depression
Anxiety disorder, unspecified
Anxiety disorder, unspecified
Bipolar Disorder
3 codesBipolar disorder, unspecified
Bipolar disorder, unspecified
Bipolar disorder, current episode depressed, mild or moderate, unspecified
Bipolar disorder, current episode depressed, mild or moderate, unspecified
Bipolar II disorder
Bipolar II disorder
Chronic Pain
1 codeChronic pain syndrome
Chronic pain syndrome
Dementia
3 codesAlzheimer's disease, unspecified
Caregiver-based monitoring; fall detection + night monitoring
Alzheimer's disease, unspecified
Caregiver-based monitoring; fall detection + night monitoring
Unspecified dementia without behavioral disturbance
Unspecified dementia without behavioral disturbance
Unspecified dementia with behavioral disturbance
Unspecified dementia with behavioral disturbance
Depression
9 codesMajor depressive disorder, single episode, mild
Major depressive disorder, single episode, mild
Major depressive disorder, single episode, moderate
Major depressive disorder, single episode, moderate
Major depressive disorder, single episode, severe without psychotic features
PHQ-9 monitoring; high suicide risk requires close follow-up
Major depressive disorder, single episode, severe without psychotic features
PHQ-9 monitoring; high suicide risk requires close follow-up
Major depressive disorder, single episode, unspecified
Major depressive disorder, single episode, unspecified
Major depressive disorder, recurrent, mild
Major depressive disorder, recurrent, mild
Major depressive disorder, recurrent, moderate
Major depressive disorder, recurrent, moderate
Major depressive disorder, recurrent, severe without psychotic features
Major depressive disorder, recurrent, severe without psychotic features
Major depressive disorder, recurrent, unspecified
Major depressive disorder, recurrent, unspecified
Dysthymic disorder (persistent depressive disorder)
Dysthymic disorder (persistent depressive disorder)
Fibromyalgia
1 codeFibromyalgia
Pain and functional status monitoring via RTM; often comorbid with depression
Fibromyalgia
Pain and functional status monitoring via RTM; often comorbid with depression
Obesity
1 codeDrug-induced obesity
Drug-induced obesity
PTSD
2 codesPost-traumatic stress disorder, unspecified
PCL-5 screening; often comorbid with depression and SUD
Post-traumatic stress disorder, unspecified
PCL-5 screening; often comorbid with depression and SUD
Post-traumatic stress disorder, chronic
Post-traumatic stress disorder, chronic
Substance Use Disorders
2 codesAlcohol dependence, uncomplicated
AUDIT-C screening; affects medication adherence for comorbidities
Alcohol dependence, uncomplicated
AUDIT-C screening; affects medication adherence for comorbidities
Opioid dependence, uncomplicated
Opioid dependence, uncomplicated
Clinical Context
Why behavioral health practices benefit from CCM.
Behavioral Health practices can leverage CCM to improve patient outcomes through structured care management, generating $97–$220+ per patient per month in Medicare reimbursement while reducing avoidable hospitalizations.
Related Conditions
Condition monitoring guides.
FAQ
Common questions.
What ICD-10 codes qualify behavioral health patients for CCM?
There are 25 ICD-10 codes that qualify behavioral health patients for Chronic Care Management (CCM). These include codes across 9 diagnosis categories: Anxiety Disorders, Bipolar Disorder, Chronic Pain, Dementia, Depression, Fibromyalgia, Obesity, PTSD, Substance Use Disorders.
How does CCN Health support behavioral health practices with CCM?
CCN Health provides turnkey CCM services for behavioral health practices — including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support. Most practices are fully operational within 1 week.
What is the revenue potential for CCM in behavioral health?
CCM generates $62–149 per patient per month in Medicare reimbursement. Behavioral Health practices with a high prevalence of qualifying conditions can scale rapidly, especially when CCM is stacked with other eligible programs like RPM and BHI.