CPT procedure code
CPT 99491: Chronic care management, by physician, first 30 min/month
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
99491
Category
EM
Common scenarios
- CCM physician 30 min
- Physician-only CCM 30 min
Common denial patterns
- Missing PA where required
- Wrong POS or modifier
Frequently asked questions
What is CPT 99491?
Chronic care management, by physician, first 30 min/month
When is it typically billed?
CCM physician 30 min; Physician-only CCM 30 min.
What are common denial reasons?
Missing PA where required; Wrong POS or modifier.
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