Turnkey Solution

Principal Care Management

Principal Care Management services was created to fill a gap left by the Chronic Care Management (CCM) CPT codes that were established by the Center for Medicare & Medicaid Services (CMS) in 2015.

Under the new PCM codes, specialists may now be reimbursed for providing their patients with care management services that are more targeted within their own particular area of specialty. More generalized care management services may continue to be provided by a patient’s primary care physician as appropriate.


Billing Codes

The following codes fall under the Medicare “general supervision” billing rule, which means Physicians can sub-contract the services out to us. Our Care Team will become an extension of their practice.


CPT 99426


30 minutes of Principal Care Management services, provided by clinical staff


CPT 99427


Additional 30 minutes of Principal Care Management services