CMS also made adjustments to the fees that range from a loss of less than $2 to a gain of more than $20. That’s based on national calculations, your fees will vary based on your locality. The following chart provides a quick overview of what your revenue will look like in 2020. Watch upcoming issues of Part B News and other DecisionHealth publications for more details.
|
Code
|
Short descriptor
|
2019
|
2020
|
|
99490
|
Chronic care management services at least 20 minutes per calendar month
|
$42.17
|
$42.22
|
|
+G2058
|
Chronic care management services, each additional 20 minutes of clinical staff time
|
N/A
|
$37.89
|
|
99491
|
Chronic care management services by qualified health care professional, 30 minutes or more per calendar month
|
$83.97
|
$84.09
|
|
99487
|
Complex chronic care management services 60 minutes clinical staff time
|
$92.98
|
$92.39
|
|
+99489
|
Complex chronic care management services each additional 30 minutes clinical staff time
|
$46.49
|
$44.75
|
|
99495
|
Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge
|
$166.50
|
$187.67
|
|
99496
|
Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge
|
$234.97
|
$247.94
|
|
G2064
|
Comprehensive care management services for a single high-risk disease, e.g., Principal Care Management, at least 30 minutes of physician or other qualified health care professional time per calendar month
|
N/A
|
$92.03
|
|
G2065
|
Comprehensive care management for a single high-risk disease services, e.g. Principal Care Management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month
|
N/A
|
$39.70
|
By the way, here is the comparison for behavioral and psychiatric care management services.
|
99484
|
Care management services for behavioral health conditions, at least 20 minutes clinical staff time
|
$48.65
|
$48.00
|
|
99492
|
Initial psychiatric collaborative care management, first 70 minutes in the first calendar month
|
$162.18
|
$156.99
|
|
99493
|
Subsequent psychiatric collaborative care management, first 60 minutes in subsequent month of behavioral health care manager activities
|
$129.38
|
$126.31
|
|
+99494
|
Initial or subsequent psychiatric collaborative care management, additional 30 minutes in the first calendar month
|
$67.03
|
$63.88
|
Source: PBN analysis of the Medicare 2020 final physician fee schedule — Addendum B