The Centers for Medicare and Medicaid Services (CMS) has updated the 2025 Final Rule for Chronic Care Management (CCM). For 2025, there were no major changes to the CCM program rules and regulations in CMS’s Final Rule, but for the first time, Rural Health Clinics and Federally Qualified Health Centers can now bill the CCM CPT codes just like other fee-for-service practices. There are also updated reimbursement rates for the CPT codes.
Chronic Care Management is a Medicare program for patients with two or more chronic conditions. It can be an effective way to embrace value-based care, so it’s important to understand the program's rules and regulations, as well as the different series of CCM codes your practice can bill for.
In this video, we discuss the 2025 CPT codes, billing requirements, and reimbursements for Chronic Care Management. We'll examine the different CPT code series for CCM, including non-complex CCM, complex CCM, and physician-driven CCM, including the codes
After viewing, you’ll have a better understanding of the elements of CCM for physician practices, including CCM rules and requirements for each code and when one should be billed over another.