The Provider’s Guide to CPT Code 99489

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November 27, 2024

Managing complex chronic care can be time-consuming, but CPT Code 99489 ensures you get paid for every extra minute you dedicate to your patients. As your patients’ care needs grow, so should your reimbursements. Let’s explore how CPT 99489 can maximize the time and effort you’re already putting in.

What’s CPT Code 99489?

CPT Code 99489 is an add-on billing code that supplements CPT Code 99487. It allows you to bill for each additional 30 minutes of non-face-to-face care coordination for patients with complex chronic conditions. This is for when you go beyond the initial 60 minutes of care already billed under CPT 99487.

Why It Matters:

Complex care takes time. You’re already working hard to manage your patients’ multiple chronic conditions, so CPT 99489 helps you bill for the extra effort. It’s not just about the time you spend—it’s about getting reimbursed for the critical behind-the-scenes work.

Did You Know?

Studies show that more than 12% of the U.S. population suffers from multiple chronic conditions requiring complex, continuous care. With an aging population and increasing healthcare demands, you’re likely already providing this level of care. CPT 99489 helps ensure that extra work doesn’t go uncompensated.


How CPT 99489 Works

Who's Eligible?

  • Your patient has two or more chronic conditions that are expected to last at least a year or until death.
  • These conditions are complex enough to require extensive medical decision-making and care coordination across multiple providers.

What You Need to Do:

  • Dedicate at least an additional 30 minutes of non-face-to-face care each month, on top of the initial 60 minutes billed through CPT 99487.
  • Care includes tasks like coordinating with other providers, adjusting medications, and updating care plans.

Pro Tip: Tracking is Essential

Every minute counts. Make sure you log every activity, whether it’s a phone call with a specialist, a review of the patient's medications, or an adjustment to their care plan. Detailed documentation ensures you capture all the reimbursement opportunities available under CPT 99489.

Why CPT 99489 Boosts Your Practice

Get Paid for Extra Work:

As your patients’ conditions require more time, you deserve to be compensated for the additional care you provide. With CPT 99489, you can bill approximately $47 for each additional 30 minutes of care coordination. That means extra revenue for the work you’re already doing.

Enhance Patient Care and Outcomes:

By dedicating more time to your patients’ chronic care management, you’re helping them maintain better health and minimize unnecessary hospital visits. Proactively managing complex conditions keeps patients healthier and improves their quality of life.

Streamline Operations with Team Support:

You don’t have to handle everything yourself. By enlisting your care coordinators or advanced practice clinicians to assist in managing patient care, your practice can distribute the workload more effectively, boosting team efficiency while still delivering high-quality care.

How ViuHealth Supports CPT 99489

Managing complex chronic care, especially with add-on codes like CPT 99489, can feel overwhelming. ViuHealth is here to help you simplify the process, save time, and unlock additional revenue streams. Here’s how we support your practice:

Streamline Care Coordination:

With ViuHealth’s platform, you can easily track the additional time spent on care coordination. Our virtual care team works directly with your patients, providing disease-specific education and helping meet the 30-minute care requirements under CPT 99489.

Discover New Revenue Opportunities:

ViuHealth’s technology uncovers hidden revenue by tracking every additional care coordination task you perform. Whether it's an adjustment to a treatment plan or a coordination call, our platform ensures you capture every minute.

Meet Documentation Standards:

Compliance with CPT 99489 requires thorough documentation of all care activities. ViuHealth helps you meet these requirements. Our seamless integration with your existing EHR system makes it easy to record and log care coordination, so you can focus on delivering excellent patient care.

Avoid Burnout:

The additional care required for chronic patients can lead to provider fatigue. ViuHealth helps offload routine tasks like patient education and follow-ups, reducing the burden on you and your team, so you can focus on higher-level care.

Exceed Patient Expectations

Increased Patient Engagement:

Patients eligible for CPT 99489 often have complex needs that require ongoing management. ViuHealth’s patient-friendly platform empowers them to track their health daily and stay engaged with their treatment plans. This not only keeps them more informed but also improves their adherence to prescribed care routines.


Continuous, High-Touch Care:

ViuHealth makes it easier to maintain a high level of patient engagement between in-person visits. With our platform, patients receive personalized care, education, and check-ins, ensuring they feel supported and informed at every step of their health journey.

Foster Long-Term Trust:

By providing continuous care and support, you strengthen your relationship with your patients. This builds trust, loyalty, and long-term satisfaction, leading to better reviews and stronger retention for your practice.

Wrap-Up: Get More Out of Your Practice with CPT 99489

CPT Code 99489 is the key to getting paid for the additional time you spend managing your patients' complex needs. With ViuHealth, you can streamline the process, maximize reimbursements, and focus on what you do best—delivering exceptional care. Let us handle the heavy lifting while you keep your patients healthy and thriving.

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