CPT Code 99437: CCM by Physician, Additional 30 Minutes
CCM by physician, each additional 30 minutes
CPT 99437 is the add-on code for each additional 30 minutes of chronic care management personally provided by a physician or qualified health professional.
What this code covers
Reported with 99491 as the primary code.
Each unit requires a full additional 30 minutes of the practitioner's personal time.
Subject to monthly unit limits under Medicare.
Billing and documentation notes
- Add-on code: requires 99491
- Requires a complete additional 30 minutes of practitioner time
- Cannot be combined with clinical-staff CCM codes in the same month
CPT is a registered trademark of the American Medical Association. This page provides a general summary for educational purposes and is not a substitute for the official CPT code set, payer policy or professional coding judgment. Verify against current official descriptors and applicable payer policy before billing.
FAQ
CPT 99437, frequently asked questions questions
- What is CPT code 99437?
- CPT 99437 is the add-on code for each additional 30 minutes of chronic care management personally provided by a physician or qualified health professional.
- What are the billing requirements for CPT 99437?
- Add-on code: requires 99491 Requires a complete additional 30 minutes of practitioner time Cannot be combined with clinical-staff CCM codes in the same month
- Does Healthcare SBC handle billing for 99437?
- Yes. Our certified coders bill 99437 routinely as part of full-service revenue cycle management, including documentation review, correct unit calculation where applicable, modifier application and denial management specific to this code.
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