Care Management

Principal Care Management

Table of Contents

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Billing Codes

  • 99424: PCM services for a single high-risk disease first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.
  • 99425: PCM services for a single high-risk disease each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. List separately in addition to primary.
  • 99426: PCM, for a single high-risk disease first 30 minutes of clinical staff time directed by physician or other qualified health care professional, per calendar month. 
  • 99427: PCM services, for a single high-risk disease each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. List separately in addition to primary.

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Documentation

Billing PCM codes requires the practitioner to develop a disease-specific care plan including:

  • Cognitive and functional assessments
  • Consent
  • Coordination with outside resources and providers
  • Documents dates and times
  • Educate patient on PCM and cost sharing
  • Expected outcome and prognosis with measurable treatment goals
  • List core medical problem 
  • Medications (allergies) and medication management 
  • Patient’s demographics
  • Planned interventions
  • Symptoms management
  • Requires documentation to substantiate time and patient facts

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Related Content

Revised 7/31/2024