Part of Chronic Care Management
CPT 99489: Complex CCM, each additional 30 minutes
Add-on code for each additional 30 minutes of complex CCM clinical staff time beyond the 99487 threshold.
Time threshold & code combinations
Each additional 30 minutes of clinical staff time, beyond 99487, per calendar month.
- Cannot be billed without 99487 in the same calendar month
Who can bill
- Physicians and non-physician practitioners directing the clinical staff who furnish the service
Eligibility & billing requirements
- Same eligibility as 99487
- 99487 must be billed first for the same month
- Only reported after the first 60-minute threshold (99487) has been met
When to use it
Extended complex care coordination
After the first 60 minutes, staff spend another 30 minutes coordinating home health services and updating the care plan.
Billing: 99487 + 99489
Documentation checklist
- Time log showing the additional 30-minute increment
- Confirmation that 99487 was met first in the same month
Common billing mistakes
- Billing 99489 without a qualifying 99487 in the same month