How to Use CPT 99490 for Chronic Kidney Disease Management

How to Use CPT 99490 for Chronic Kidney Disease Management Chronic Kidney Disease (CKD) isn’t something you manage with a checklist and a pill bottle. Ask any nephrologist — it’s an ongoing, messy battle with labs, lifestyle changes, emotional hurdles, and let’s not forget… insurance paperwork. This is where CPT 99490 steps in, like the unsung hero of Medicare billing. If you’ve ever stared at a superbill wondering how to support your CKD patients *and* keep the lights on — this post is for you. 📌 Table of Contents What Is CPT 99490? Which CKD Patients Are Eligible? Reimbursement Rules & Documentation Best Workflow Tips for Nephrology Clinics Legal & Coding Compliance Pitfalls Final Takeaways What Is CPT 99490? CPT 99490 is Medicare’s billing code for chronic care management (CCM) — 20+ minutes per calendar month of **non-face-to-face clinical staff time**, directed by a physician or other qualified health professional. This isn't...