PCM · Geriatrics
PCM Qualifying Diagnoses
for Geriatrics.
17 ICD-10 codes qualify geriatrics patients for Principal Care Management (PCM).
Qualifying Codes
ICD-10 codes for geriatrics.
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
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
Epilepsy
1 codeEpilepsy, unspecified, not intractable, without status epilepticus
Epilepsy, unspecified, not intractable, without status epilepticus
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
1 codeHereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathy
Osteoporosis
1 codeAge-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
Type 2 Diabetes
1 codeType 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
Clinical Context
Why geriatrics practices benefit from PCM.
Geriatrics practices can leverage PCM 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 PCM?
There are 17 ICD-10 codes that qualify geriatrics patients for Principal Care Management (PCM). These include codes across 11 diagnosis categories: Atrial Fibrillation, Chronic Kidney Disease, COPD, Epilepsy, Heart Failure, Hypertension, Liver Disease, Neuropathy, Osteoporosis, Parkinson's Disease, Type 2 Diabetes.
How does CCN Health support geriatrics practices with PCM?
CCN Health provides turnkey PCM 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 PCM in geriatrics?
PCM generates $68–149 per patient per month in Medicare reimbursement. Geriatrics practices with a high prevalence of qualifying conditions can scale rapidly, especially when PCM is stacked with other eligible programs like RPM and BHI.