99490
Care Mgmt / CounselCMS status: AChronic care management services, at least 20 minutes of clinical staff time per calendar month, directed by physician or QHP.
Work RVU
1.00
Practice RVU
0.91
Malpractice RVU
0.07
Total RVU
1.98
2026 Medicare payment
$66.13
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99490 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Patient with 2+ chronic conditions expected to last 12+ months. Initial 20 minutes of staff time in a calendar month.
Documentation checklist
- ✓Comprehensive care plan in the chart.
- ✓Patient consent (written or verbal, documented).
- ✓20 minutes of non-face-to-face clinical staff time, totaled across the calendar month.
- ✓Activities logged with date, duration, content.
Common pitfalls
- !Only one practitioner can bill CCM per calendar month per patient.
- !Patient must consent — they share cost.
- !Cannot also bill 99495/99496 (TCM) in the same month.
Common ICD-10 pairings
E11.9I10N18.3
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.