CCM · Geriatrics
CCM Qualifying Diagnoses
for Geriatrics.
42 ICD-10 codes qualify geriatrics patients for Chronic Care Management (CCM).
Qualifying Codes
ICD-10 codes for geriatrics.
Anemia
1 codeAnemia, unspecified
Anemia, unspecified
Anxiety Disorders
1 codeGeneralized anxiety disorder
GAD-7 screening tool; often comorbid with depression
Generalized anxiety disorder
GAD-7 screening tool; often comorbid with depression
Atrial Fibrillation
1 codeChronic atrial fibrillation
Pulse oximetry or ECG-capable BP cuffs for rate monitoring
Chronic atrial fibrillation
Pulse oximetry or ECG-capable BP cuffs for rate monitoring
Cerebrovascular Disease
2 codesCerebral infarction, unspecified
Post-stroke care coordination; BP monitoring for secondary prevention
Cerebral infarction, unspecified
Post-stroke care coordination; BP monitoring for secondary prevention
Cerebrovascular disease, unspecified
Cerebrovascular disease, unspecified
Chronic Kidney Disease
1 codeChronic kidney disease, stage 3 unspecified
BP + weight monitoring; fluid management critical
Chronic kidney disease, stage 3 unspecified
BP + weight monitoring; fluid management critical
COPD
3 codesCOPD with (acute) lower respiratory infection
COPD with (acute) lower respiratory infection
COPD with (acute) exacerbation
SpO2 monitoring critical; exacerbation history drives RPM enrollment
COPD with (acute) exacerbation
SpO2 monitoring critical; exacerbation history drives RPM enrollment
COPD, unspecified
COPD, unspecified
Coronary Artery Disease
1 codeChronic ischemic heart disease, unspecified
Chronic ischemic heart disease, unspecified
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
5 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, unspecified
Major depressive disorder, single episode, unspecified
Major depressive disorder, recurrent, moderate
Major depressive disorder, recurrent, moderate
Dysthymic disorder (persistent depressive disorder)
Dysthymic disorder (persistent depressive disorder)
Epilepsy
1 codeEpilepsy, unspecified, not intractable, without status epilepticus
Epilepsy, unspecified, not intractable, without status epilepticus
Eye Conditions
1 codeUnspecified open-angle glaucoma, stage unspecified
Unspecified open-angle glaucoma, stage unspecified
Gout
1 codeGout, unspecified
Gout, unspecified
Heart Failure
5 codesLeft ventricular failure, unspecified
Daily weight + BP monitoring critical for fluid management
Left ventricular failure, unspecified
Daily weight + BP monitoring critical for fluid management
Chronic systolic (HFrEF) heart failure
Chronic systolic (HFrEF) heart failure
Chronic diastolic (HFpEF) heart failure
Chronic diastolic (HFpEF) heart failure
Chronic combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Heart failure, unspecified
Heart failure, unspecified
Hypertension
1 codeEssential (primary) hypertension
Most common RPM diagnosis; twice-daily BP monitoring recommended
Essential (primary) hypertension
Most common RPM diagnosis; twice-daily BP monitoring recommended
Liver Disease
1 codeUnspecified cirrhosis of liver
Unspecified cirrhosis of liver
Neuropathy
2 codesHereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathy
Polyneuropathy, unspecified
Polyneuropathy, unspecified
Obesity
2 codesMorbid (severe) obesity due to excess calories
Daily weight monitoring; BMI ≥40 or ≥35 with comorbidity
Morbid (severe) obesity due to excess calories
Daily weight monitoring; BMI ≥40 or ≥35 with comorbidity
Obesity, unspecified
Obesity, unspecified
Osteoarthritis
3 codesBilateral primary osteoarthritis of knee
Bilateral primary osteoarthritis of knee
Bilateral primary osteoarthritis of hip
Bilateral primary osteoarthritis of hip
Unspecified osteoarthritis, unspecified site
Unspecified osteoarthritis, unspecified site
Osteoporosis
2 codesAge-related osteoporosis without current pathological fracture
Age-related osteoporosis without current pathological fracture
Age-related osteoporosis with current pathological fracture, unspecified site
Fall detection + activity monitoring; fracture prevention
Age-related osteoporosis with current pathological fracture, unspecified site
Fall detection + activity monitoring; fracture prevention
Parkinson's Disease
1 codeParkinson's disease
Fall detection + activity monitoring; medication adherence tracking
Parkinson's disease
Fall detection + activity monitoring; medication adherence tracking
Sleep Disorders
2 codesSleep apnea, unspecified
SpO2 + sleep monitoring; often comorbid with obesity and hypertension
Sleep apnea, unspecified
SpO2 + sleep monitoring; often comorbid with obesity and hypertension
Sleep disorder, unspecified
Sleep disorder, unspecified
Type 2 Diabetes
2 codesType 2 diabetes mellitus with hyperglycemia
Most common diabetes RPM diagnosis; CGM or daily BGM
Type 2 diabetes mellitus with hyperglycemia
Most common diabetes RPM diagnosis; CGM or daily BGM
Type 2 diabetes mellitus without complications
Type 2 diabetes mellitus without complications
Clinical Context
Why geriatrics practices benefit from CCM.
Geriatrics 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 geriatrics patients for CCM?
There are 42 ICD-10 codes that qualify geriatrics patients for Chronic Care Management (CCM). These include codes across 22 diagnosis categories: Anemia, Anxiety Disorders, Atrial Fibrillation, Cerebrovascular Disease, Chronic Kidney Disease, COPD, Coronary Artery Disease, Dementia, Depression, Epilepsy, Eye Conditions, Gout, Heart Failure, Hypertension, Liver Disease, Neuropathy, Obesity, Osteoarthritis, Osteoporosis, Parkinson's Disease, Sleep Disorders, Type 2 Diabetes.
How does CCN Health support geriatrics practices with CCM?
CCN Health provides turnkey CCM services for geriatrics 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 geriatrics?
CCM generates $62–149 per patient per month in Medicare reimbursement. Geriatrics practices with a high prevalence of qualifying conditions can scale rapidly, especially when CCM is stacked with other eligible programs like RPM and BHI.