CCM · Internal Medicine
CCM Qualifying Diagnoses
for Internal Medicine.
104 ICD-10 codes qualify internal medicine patients for Chronic Care Management (CCM).
Qualifying Codes
ICD-10 codes for internal medicine.
Anemia
2 codesAnemia, unspecified
Anemia, unspecified
Anemia in chronic kidney disease
Anemia in chronic kidney disease
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
Asthma
4 codesMild intermittent asthma, uncomplicated
Mild intermittent asthma, uncomplicated
Mild persistent asthma, uncomplicated
Mild persistent asthma, uncomplicated
Moderate persistent asthma, uncomplicated
Moderate persistent asthma, uncomplicated
Unspecified asthma, uncomplicated
Unspecified asthma, uncomplicated
Atrial Fibrillation
3 codesParoxysmal atrial fibrillation
Paroxysmal atrial fibrillation
Unspecified atrial fibrillation
Unspecified atrial fibrillation
Cardiac arrhythmia, unspecified
Cardiac arrhythmia, unspecified
Autoimmune
4 codesSystemic lupus erythematosus, unspecified
Systemic lupus erythematosus, unspecified
Systemic involvement of connective tissue, unspecified
Systemic involvement of connective tissue, unspecified
Crohn's disease, unspecified, without complications
Crohn's disease, unspecified, without complications
Ulcerative colitis, unspecified, without complications
Ulcerative colitis, unspecified, without complications
Back Pain
1 codeLow back pain
RTM tracks pain levels, therapy adherence, functional outcomes
Low back pain
RTM tracks pain levels, therapy adherence, functional outcomes
Cancer
5 codesMalignant neoplasm of breast, unspecified
Care coordination for active treatment; symptom monitoring
Malignant neoplasm of breast, unspecified
Care coordination for active treatment; symptom monitoring
Malignant neoplasm of lung, unspecified
SpO2 monitoring during treatment
Malignant neoplasm of lung, unspecified
SpO2 monitoring during treatment
Malignant neoplasm of prostate
Malignant neoplasm of prostate
Malignant neoplasm of colon, unspecified
Malignant neoplasm of colon, unspecified
Malignant neoplasm of kidney, unspecified
Malignant neoplasm of kidney, unspecified
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
7 codesChronic kidney disease, stage 1
Chronic kidney disease, stage 1
Chronic kidney disease, stage 2 (mild)
Chronic kidney disease, stage 2 (mild)
Chronic kidney disease, stage 3 unspecified
BP + weight monitoring; fluid management critical
Chronic kidney disease, stage 3 unspecified
BP + weight monitoring; fluid management critical
Chronic kidney disease, stage 3a
Chronic kidney disease, stage 3a
Chronic kidney disease, stage 3b
Chronic kidney disease, stage 3b
Chronic kidney disease, stage 4 (severe)
Pre-dialysis monitoring; aggressive BP and fluid control
Chronic kidney disease, stage 4 (severe)
Pre-dialysis monitoring; aggressive BP and fluid control
Chronic kidney disease, unspecified
Chronic kidney disease, unspecified
Chronic Pain
1 codeOther chronic pain
RTM for pain level tracking and therapy outcomes
Other chronic pain
RTM for pain level tracking and therapy outcomes
COPD
5 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
Emphysema, unspecified
Emphysema, unspecified
Unspecified chronic bronchitis
Unspecified chronic bronchitis
Coronary Artery Disease
2 codesAtherosclerotic heart disease of native coronary artery without angina
Atherosclerotic heart disease of native coronary artery without angina
Chronic ischemic heart disease, unspecified
Chronic ischemic heart disease, unspecified
Dementia
1 codeAlzheimer's disease, unspecified
Caregiver-based monitoring; fall detection + night monitoring
Alzheimer's disease, unspecified
Caregiver-based monitoring; fall detection + night monitoring
Depression
7 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, mild
Major depressive disorder, recurrent, mild
Major depressive disorder, recurrent, moderate
Major depressive disorder, recurrent, moderate
Major depressive disorder, recurrent, unspecified
Major depressive disorder, recurrent, unspecified
Dysthymic disorder (persistent depressive disorder)
Dysthymic disorder (persistent depressive disorder)
Diabetic Eye Disease
1 codeType 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
Glucose monitoring supports retinopathy progression prevention
Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
Glucose monitoring supports retinopathy progression prevention
Epilepsy
2 codesEpilepsy, unspecified, not intractable, without status epilepticus
Epilepsy, unspecified, not intractable, without status epilepticus
Epilepsy, unspecified, intractable, without status epilepticus
Epilepsy, unspecified, intractable, without status epilepticus
Eye Conditions
1 codeUnspecified open-angle glaucoma, stage unspecified
Unspecified open-angle glaucoma, stage unspecified
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
Gout
1 codeGout, unspecified
Gout, unspecified
Heart Failure
4 codesLeft ventricular failure, unspecified
Daily weight + BP monitoring critical for fluid management
Left ventricular failure, unspecified
Daily weight + BP monitoring critical for fluid management
Unspecified systolic (HFrEF) heart failure
Unspecified systolic (HFrEF) heart failure
Unspecified diastolic (HFpEF) heart failure
Unspecified diastolic (HFpEF) heart failure
Heart failure, unspecified
Heart failure, unspecified
Hypertension
4 codesEssential (primary) hypertension
Most common RPM diagnosis; twice-daily BP monitoring recommended
Essential (primary) hypertension
Most common RPM diagnosis; twice-daily BP monitoring recommended
Hypertensive heart disease without heart failure
Hypertensive heart disease without heart failure
Hypertensive chronic kidney disease, stage 1–4/unspecified
Hypertensive chronic kidney disease, stage 1–4/unspecified
Other secondary hypertension
Other secondary hypertension
Lipid Disorders
4 codesPure hypercholesterolemia, unspecified
Pure hypercholesterolemia, unspecified
Pure hypertriglyceridemia
Pure hypertriglyceridemia
Mixed hyperlipidemia
Mixed hyperlipidemia
Hyperlipidemia, unspecified
Hyperlipidemia, unspecified
Liver Disease
2 codesUnspecified cirrhosis of liver
Unspecified cirrhosis of liver
Fatty (change of) liver, not elsewhere classified
Often comorbid with metabolic syndrome; weight monitoring helpful
Fatty (change of) liver, not elsewhere classified
Often comorbid with metabolic syndrome; weight monitoring helpful
Migraine
2 codesMigraine, unspecified, not intractable, without status migrainosus
Migraine, unspecified, not intractable, without status migrainosus
Migraine, unspecified, intractable, without status migrainosus
Migraine, unspecified, intractable, without status migrainosus
Multiple Sclerosis
1 codeMultiple sclerosis
Multiple sclerosis
Neuropathy
3 codesHereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathy
Polyneuropathy, unspecified
Polyneuropathy, unspecified
Polyneuropathy in diseases classified elsewhere
Common in diabetes; often coded with E11.42 as primary
Polyneuropathy in diseases classified elsewhere
Common in diabetes; often coded with E11.42 as primary
Obesity
5 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
Other obesity due to excess calories
Other obesity due to excess calories
Drug-induced obesity
Drug-induced obesity
Obesity, unspecified
Obesity, unspecified
Metabolic syndrome
Metabolic syndrome
Osteoarthritis
1 codeUnspecified osteoarthritis, unspecified site
Unspecified osteoarthritis, unspecified site
Other Renal
1 codeAcute kidney failure, unspecified
Post-AKI monitoring for progression to CKD
Acute kidney failure, unspecified
Post-AKI monitoring for progression to CKD
Other Respiratory
1 codeOther disorders of lung
Other disorders of lung
Parkinson's Disease
1 codeParkinson's disease
Fall detection + activity monitoring; medication adherence tracking
Parkinson's disease
Fall detection + activity monitoring; medication adherence tracking
Peripheral Vascular Disease
2 codesPeripheral vascular disease, unspecified
Peripheral vascular disease, unspecified
Atherosclerosis of aorta
Atherosclerosis of aorta
Respiratory Failure
1 codeChronic respiratory failure, unspecified
Chronic respiratory failure, unspecified
Rheumatoid Arthritis
3 codesRheumatoid arthritis with rheumatoid factor, multiple sites
Rheumatoid arthritis with rheumatoid factor, multiple sites
Rheumatoid arthritis without rheumatoid factor, multiple sites
Rheumatoid arthritis without rheumatoid factor, multiple sites
Rheumatoid arthritis, unspecified
Rheumatoid arthritis, unspecified
Sleep Disorders
3 codesSleep apnea, unspecified
SpO2 + sleep monitoring; often comorbid with obesity and hypertension
Sleep apnea, unspecified
SpO2 + sleep monitoring; often comorbid with obesity and hypertension
Obstructive sleep apnea
Most common sleep disorder for RPM; CPAP compliance monitoring
Obstructive sleep apnea
Most common sleep disorder for RPM; CPAP compliance monitoring
Sleep disorder, unspecified
Sleep disorder, unspecified
Substance Use Disorders
1 codeAlcohol dependence, uncomplicated
AUDIT-C screening; affects medication adherence for comorbidities
Alcohol dependence, uncomplicated
AUDIT-C screening; affects medication adherence for comorbidities
Thyroid Disorders
2 codesThyrotoxicosis, unspecified without thyrotoxic crisis
Weight + heart rate monitoring during medication titration
Thyrotoxicosis, unspecified without thyrotoxic crisis
Weight + heart rate monitoring during medication titration
Hypothyroidism, unspecified
Hypothyroidism, unspecified
Type 1 Diabetes
4 codesType 1 diabetes mellitus with ketoacidosis without coma
Type 1 diabetes mellitus with ketoacidosis without coma
Type 1 diabetes mellitus with diabetic neuropathy, unspecified
Type 1 diabetes mellitus with diabetic neuropathy, unspecified
Type 1 diabetes mellitus with hyperglycemia
CGM or BGM monitoring; tight glucose control target
Type 1 diabetes mellitus with hyperglycemia
CGM or BGM monitoring; tight glucose control target
Type 1 diabetes mellitus without complications
Type 1 diabetes mellitus without complications
Type 2 Diabetes
5 codesType 2 diabetes mellitus with hyperosmolarity without NKHHC
Type 2 diabetes mellitus with hyperosmolarity without NKHHC
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Type 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 with unspecified complications
Type 2 diabetes mellitus with unspecified complications
Type 2 diabetes mellitus without complications
Type 2 diabetes mellitus without complications
Venous Thromboembolism
1 codeAcute embolism and thrombosis of unspecified deep veins of lower extremity
Acute embolism and thrombosis of unspecified deep veins of lower extremity
Clinical Context
Why internal medicine practices benefit from CCM.
Internal Medicine 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 internal medicine patients for CCM?
There are 104 ICD-10 codes that qualify internal medicine patients for Chronic Care Management (CCM). These include codes across 40 diagnosis categories: Anemia, Anxiety Disorders, Asthma, Atrial Fibrillation, Autoimmune, Back Pain, Cancer, Cerebrovascular Disease, Chronic Kidney Disease, Chronic Pain, COPD, Coronary Artery Disease, Dementia, Depression, Diabetic Eye Disease, Epilepsy, Eye Conditions, Fibromyalgia, Gout, Heart Failure, Hypertension, Lipid Disorders, Liver Disease, Migraine, Multiple Sclerosis, Neuropathy, Obesity, Osteoarthritis, Other Renal, Other Respiratory, Parkinson's Disease, Peripheral Vascular Disease, Respiratory Failure, Rheumatoid Arthritis, Sleep Disorders, Substance Use Disorders, Thyroid Disorders, Type 1 Diabetes, Type 2 Diabetes, Venous Thromboembolism.
How does CCN Health support internal medicine practices with CCM?
CCN Health provides turnkey CCM services for internal medicine 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 internal medicine?
CCM generates $62–149 per patient per month in Medicare reimbursement. Internal Medicine practices with a high prevalence of qualifying conditions can scale rapidly, especially when CCM is stacked with other eligible programs like RPM and BHI.