CCM · Physical Medicine & Rehab
CCM Qualifying Diagnoses
for Physical Medicine & Rehab.
17 ICD-10 codes qualify physical medicine & rehab patients for Chronic Care Management (CCM).
Qualifying Codes
ICD-10 codes for physical medicine & rehab.
Back Pain
2 codesLow back pain
RTM tracks pain levels, therapy adherence, functional outcomes
Low back pain
RTM tracks pain levels, therapy adherence, functional outcomes
Spondylosis without myelopathy or radiculopathy, lumbar region
Spondylosis without myelopathy or radiculopathy, lumbar region
Chronic Pain
2 codesOther chronic pain
RTM for pain level tracking and therapy outcomes
Other chronic pain
RTM for pain level tracking and therapy outcomes
Chronic pain syndrome
Chronic pain syndrome
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
Multiple Sclerosis
1 codeMultiple sclerosis
Multiple sclerosis
Osteoarthritis
7 codesBilateral primary osteoarthritis of knee
Bilateral primary osteoarthritis of knee
Primary osteoarthritis, right knee
Primary osteoarthritis, right knee
Primary osteoarthritis, left knee
Primary osteoarthritis, left knee
Bilateral primary osteoarthritis of hip
Bilateral primary osteoarthritis of hip
Primary osteoarthritis, right hip
Primary osteoarthritis, right hip
Primary osteoarthritis, left hip
Primary osteoarthritis, left hip
Unspecified osteoarthritis, unspecified site
Unspecified osteoarthritis, unspecified site
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
Clinical Context
Why physical medicine & rehab practices benefit from CCM.
Physical Medicine & Rehab 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.
FAQ
Common questions.
What ICD-10 codes qualify physical medicine & rehab patients for CCM?
There are 17 ICD-10 codes that qualify physical medicine & rehab patients for Chronic Care Management (CCM). These include codes across 7 diagnosis categories: Back Pain, Chronic Pain, Fibromyalgia, Gout, Multiple Sclerosis, Osteoarthritis, Rheumatoid Arthritis.
How does CCN Health support physical medicine & rehab practices with CCM?
CCN Health provides turnkey CCM services for physical medicine & rehab 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 physical medicine & rehab?
CCM generates $62–149 per patient per month in Medicare reimbursement. Physical Medicine & Rehab practices with a high prevalence of qualifying conditions can scale rapidly, especially when CCM is stacked with other eligible programs like RPM and BHI.