CCM · Pulmonology
CCM Qualifying Diagnoses
for Pulmonology.
22 ICD-10 codes qualify pulmonology patients for Chronic Care Management (CCM).
Qualifying Codes
ICD-10 codes for pulmonology.
Asthma
7 codesMild intermittent asthma, uncomplicated
Mild intermittent asthma, uncomplicated
Mild persistent asthma, uncomplicated
Mild persistent asthma, uncomplicated
Moderate persistent asthma, uncomplicated
Moderate persistent asthma, uncomplicated
Moderate persistent asthma with (acute) exacerbation
Moderate persistent asthma with (acute) exacerbation
Severe persistent asthma, uncomplicated
SpO2 + respiratory rate monitoring; high-risk for exacerbation
Severe persistent asthma, uncomplicated
SpO2 + respiratory rate monitoring; high-risk for exacerbation
Severe persistent asthma with (acute) exacerbation
Severe persistent asthma with (acute) exacerbation
Unspecified asthma, uncomplicated
Unspecified asthma, uncomplicated
Cancer
1 codeMalignant neoplasm of lung, unspecified
SpO2 monitoring during treatment
Malignant neoplasm of lung, unspecified
SpO2 monitoring during treatment
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
Interstitial Lung Disease
2 codesPulmonary fibrosis, unspecified
SpO2 trending critical for disease progression monitoring
Pulmonary fibrosis, unspecified
SpO2 trending critical for disease progression monitoring
Interstitial pulmonary disease, unspecified
Interstitial pulmonary disease, unspecified
Other Respiratory
1 codeOther disorders of lung
Other disorders of lung
Respiratory Failure
2 codesChronic respiratory failure, unspecified
Chronic respiratory failure, unspecified
Chronic respiratory failure with hypoxia
Chronic respiratory failure with hypoxia
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
Primary central sleep apnea
Primary central sleep apnea
Venous Thromboembolism
1 codeOther pulmonary embolism without acute cor pulmonale
Other pulmonary embolism without acute cor pulmonale
Clinical Context
Why pulmonology practices benefit from CCM.
Pulmonology 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 pulmonology patients for CCM?
There are 22 ICD-10 codes that qualify pulmonology patients for Chronic Care Management (CCM). These include codes across 8 diagnosis categories: Asthma, Cancer, COPD, Interstitial Lung Disease, Other Respiratory, Respiratory Failure, Sleep Disorders, Venous Thromboembolism.
How does CCN Health support pulmonology practices with CCM?
CCN Health provides turnkey CCM services for pulmonology 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 pulmonology?
CCM generates $62–149 per patient per month in Medicare reimbursement. Pulmonology practices with a high prevalence of qualifying conditions can scale rapidly, especially when CCM is stacked with other eligible programs like RPM and BHI.