Principal Care Management

PCM: Specialized Focus for Serious Conditions

  • Bill up to $100/month per eligible patient

  • Manage high-risk patients with one chronic condition

  • Deliver targeted, condition-specific care

What Is Principal Care Management (PCM)?
PCM was created to serve patients with one high-risk chronic condition who may not qualify for CCM but still need structured monthly care.

Who Qualifies for?

PCM is ideal for patients managing a single condition like cancer, COPD, or heart failure that requires intensive oversight and coordination.

How it works

Patients get focused support for their most pressing health concern, including medication reviews, symptom tracking, and faster care escalation if things worsen.

How it benefits the practice

Practices can offer personalized, high-touch care for serious conditions while receiving reimbursement for clinical time spent outside of face-to-face visits.
Vitals You Can Monitor
No items found.
See Devices

Principal Care Management Codes

CPT 99424

30 Minutes of Provider-Led PCM

Billed monthly when the provider personally spends 30 minutes managing a patient’s single chronic condition (no staff involvement).

CPT 99425

Each Additional 30 Minutes of Provider PCM Time

This add-on is billed with 99424 if the provider spends additional time that month on care planning, coordination, or check-ins.

CPT 99426

30-Minute Care Coordination by Clinical Staff

This code is billed monthly when clinical staff, under the provider’s supervision, manage care for a patient with one serious chronic condition requiring ongoing attention.

CPT 99427

Each Additional 30 Minutes of Staff Time

This is billed in addition to 99426 if staff time exceeds 30 minutes in a given month.

CPT 99424
30 Minutes of Provider-Led PCM
Billed monthly when the provider personally spends 30 minutes managing a patient’s single chronic condition (no staff involvement).
CPT 99425
Each Additional 30 Minutes of Provider PCM Time
This add-on is billed with 99424 if the provider spends additional time that month on care planning, coordination, or check-ins.
CPT 99426
30-Minute Care Coordination by Clinical Staff
This code is billed monthly when clinical staff, under the provider’s supervision, manage care for a patient with one serious chronic condition requiring ongoing attention.
CPT 99427
Each Additional 30 Minutes of Staff Time
This is billed in addition to 99426 if staff time exceeds 30 minutes in a given month.

Why Choose CCN Health?

Instant EHR Integration

Automatically sync patient data directly into your existing workflow—no manual entry required.

Transparent Billing Guidance

Know exactly what CPT codes apply, why they apply, and how to maximize your reimbursements.

Rapid Onboarding

Go from discovery to billing within a single week. No delays, no hassles.

Zero Risk & No Cost

All devices, training, and integration are completely free. You pay nothing upfront.

🚀 6-Step “Quick-Launch” Framework
Understanding the process
01

Discovery Call
(Just 20 minutes)

Simply pick a convenient time to meet virtually with your dedicated onboarding specialist. We'll quickly analyze your current workflow and EHR setup, identify clear revenue opportunities, and walk you through potential billing scenarios step-by-step.

02

Sign HIPAA BAA & e-Agreements

We make compliance simple. Quickly e-sign our standard Business Associate Agreement (BAA) and delegation paperwork, and we’ll instantly provision your own branded, secure portal and establish compliant, EHR-integrated data channels.

03

Receive Free Starter Devices

You'll receive fully-configured, pre-paired test devices—like blood pressure cuffs, scales, pulse oximeters, spirometers, or Bluetooth trackers—depending on your chosen program. Devices ship fast, completely free, and require zero setup.

04

Fast & Simple Patient Import

Identify a small group of pilot patients—we’ll automatically generate eligibility reports to help. Importing patients from your existing EHR into our platform is seamless, and capturing digital consent via text or email takes just seconds.

05

Workflow Customization & Staff Training

Join one short, tailored training session (45 minutes max) where your team learns intuitive workflows, customizable alerts, and easy task routing. We ensure everything aligns smoothly with your existing internal processes and provide continuous support.

06

Start Billing With Confidence

Begin delivering care immediately using your familiar workflows. Easily approve care interactions within your EHR, clearly see which CPT codes are billable, and understand exactly why each patient qualifies or what simple steps you need to take to ensure eligibility.

Ready to Start?
Schedule your quick, no-obligation discovery call today—and start billing CCM, RPM, RTM, PCM, or BHI within your first 30 days.