2026 billing guide · Updated October 2026
Chronic Care Management: 2026 billing guide
A monthly care plan conversation for every patient with two or more chronic conditions.
Codes
| Code | Description | Approx. rate |
|---|---|---|
| 99490 | First 20 minutes of clinical staff time | $66 |
| 99439 | Each additional 20 minutes | $50 |
| 99487 | Complex CCM, first 60 minutes | $144 |
Approximate 2026 Medicare national averages. Actual payment varies by locality and payer. Not a guarantee of reimbursement. Codes and rates are pending review by Aetos clinical and billing leads before launch.
Requirements Aetos tracks
- Documented consent
- Comprehensive care plan
- 20 minute time thresholds
- Documentation of time and activities
Source and review
Rates: ThoroughCare, CCM 2026 rates. Last updated October 2026; guides are updated each January. Clinical claims and rate tables are reviewed by Aetos clinical and billing leads before publication. Each practice remains responsible for its own billing.
Find out in 20 minutes whether remote care fits your practice.
We review your patient mix, the programs that fit and your own estimate. No obligation.
Book an assessmentRequest a Demo