A comprehensive description to 99490 CPT code

99490 CPT code is an essential code used in the healthcare industry for billing and reimbursement purposes. In this article, we will provide a comprehensive description of the 99490 CPT code, including its purpose, usage, and guidelines.

What is the 99490 CPT Code?

Chronic conditions can be debilitating for patients, and to manage them effectively, healthcare providers need to offer non-face-to-face care coordination services. The CPT code 99490 enables healthcare providers to bill for these services. The code was introduced by the CMM as part of a wider effort to improve the quality of care for patients with chronic conditions. By using this code, healthcare providers are able to promote better health outcomes for their patients and ensure that they receive the care and support they need to manage their conditions effectively.

Usage and Guidelines for CPT 99490 code

The 99490 CPT code can be used by eligible healthcare providers, such as physicians, nurse practitioners, and physician assistants, who provide care coordination services to patients with two or more chronic conditions.

Some of the critical guidelines for using the 99490 CPT code include:

  • Patients must have two or more chronic conditions that are expected to last at least 12 months or until the patient’s death.
  • The healthcare provider must develop and implement a comprehensive care plan for each patient.
  • The care plan must be electronically accessible to all healthcare team members.
  • The healthcare provider must provide at least 20 minutes of non-face-to-face care coordination services monthly.

Benefits of using the 99490 CPT code

Using the 99490 CPT code offers several benefits for both healthcare providers and patients:

  • Improved patient outcomes: The care coordination services provided under the 99490 code can help patients better manage their chronic conditions, improving health outcomes.
  • Enhanced patient satisfaction: Patients appreciate the additional support and guidance provided through care coordination services, resulting in higher satisfaction levels.
  • Increased revenue: Healthcare providers can generate additional revenue by billing for the non-face-to-face care coordination services provided to eligible patients.


The 99490 CPT code plays a crucial role in the healthcare industry by facilitating non-face-to-face care coordination services for patients with chronic conditions. This code allows healthcare providers to improve patient outcomes, enhance patient satisfaction, and increase revenue.

Healthcare providers must understand the guidelines and requirements associated with the 99490 CPT code to ensure accurate billing and reimbursement. By leveraging the benefits of this code, healthcare providers can deliver high-quality care to patients with chronic conditions.

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