Care Management & Integration

99487 CPT

Complex chronic care management; first 60 minutes per month

System

CPT code

Timing

Time-based — 60-min units

Add-on

No — billable on its own

CPT 99487 reports complex chronic care management for patients with significant chronic illness and moderate-to-high risk, covering the first 60 minutes per month.

When to use 99487

Use 99487 when a patient requires complex, higher-intensity care management beyond routine CCM (99490). Add 99489 for each additional 30 minutes.

How to bill it

Report once per calendar month for the first 60 minutes and add 99489 for additional time. Do not bill with 99490 in the same month.

Common pitfalls

  • Bundling 99487 with 99490 in the same month.
  • Forgetting the 99489 add-on for additional complex care time.

Frequently asked questions

How does complex CCM (99487) differ from routine CCM (99490)?

99487 is for higher-intensity, complex care management with greater clinical risk and at least 60 minutes per month; 99490 is routine CCM at 20 minutes.

Can I bill 99487 and 99490 the same month?

No. Only one CCM level applies per month; choose the level that matches the intensity of services.

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