Get paid between visits
Chronic care management for gastroenterology practices
Companian follows your IBD, cirrhosis and hepatitis patients between procedures and flags changes.
- No new hires. We run outreach, consent and monthly calls.
- One file a month. Nothing is billed until you approve it.
- $0 upfront. Works with your EHR, live in about a week.
$66.13* per patient, every month*Gastroenterology CCM, CPT 99490 (2026 national rate)
Get your CCM Plan
Works nationwide
Practices nationwide
You bill under your own NPI
Same Care Advocate every month
RNs, NPs, LCSWs and care companions
Monthly file approved by your team
No new hires needed
One Care AdvocateSame person, every month
Your NPI, your claimYou bill Medicare directly
Monthly billing fileYour team approves it
GI and liver conditions, matched to a program
Your gastroenterologist or hepatologist confirms eligibility at the initiating visit.
| Condition | Covered on the monthly call | Program to consider |
|---|---|---|
| Crohn’s disease and ulcerative colitis | Infusion and lab dates confirmed; the bowel-symptom questions in your plan asked and recorded | PCM when IBD is the one condition you manage |
| Cirrhosis | Liver ultrasound and lab intervals confirmed; new symptoms on your plan’s list routed to your office | PCM, or PIN (G0023, G0024) once decompensation brings significant risk of hospitalization |
| Chronic hepatitis B or C | Lab follow-up dates confirmed; the questions your plan sets asked each month | CCM when your hepatology practice also manages the patient’s cirrhosis |
| MASLD | Diet and alcohol questions from your plan asked and recorded; imaging dates confirmed | PCM, where your practitioner judges it serious and high-risk |
| Any of the above, when cost or transport blocks care | Work on the social need behind missed infusions or procedures | Community health integration (G0019, G0022) |
The condition count decides the code. Two or more chronic conditions expected to last 12 months, like cirrhosis plus chronic hepatitis B, meet the CCM test. Eligible conditions list.
What 100 IBD, cirrhosis and hepatitis C patients bring in each month
2026 Medicare-allowed amounts, and the diagnosis codes that qualify.
Example panel
$6,613 / month
$79,356 a year · 100 patients × $66.13 (CPT 99490, national)
- CPT 99490 pays $66.13 per patient-month nationally (2026).
- Your locality moves it up or down: $60.71 in Arkansas to $83.76 in Alaska.
- Each extra 20 minutes adds CPT 99439 at $50.44.
| Condition | ICD-10 examples | Program fit |
|---|---|---|
| Crohn’s disease | K50.90 | CCM with a second condition; PCM alone |
| Ulcerative colitis | K51.90 | CCM with a second condition |
| Cirrhosis | K74.60 | CCM; PCM alone |
| Chronic hepatitis C | B18.2 | CCM with a second condition |
What happens between procedures
Your staff share the list, approve outreach and approve the monthly file.
Consent on the first call
After your approval, the Care Advocate explains the program and Part B cost-sharing and records verbal consent.
Surveillance intervals
Your plan sets the intervals: liver ultrasound, labs on a biologic. The Care Advocate confirms each booked appointment was kept.
Procedure and prep dates
Before a colonoscopy or endoscopy, we confirm the dates and your written prep instructions. Prep questions go to your nurse.
Notes and pre-visit summary
Gloria, an AI assistant, drafts call notes and a pre-visit summary for the next GI visit. People make every call.
Chronic care management for gastroenterology practices: 2026 codes
National amounts for 2026.
| Code | Service | National 2026 |
|---|---|---|
| 99426 | PCM, clinical staff, first 30 min | $67.80 |
| 99427 | PCM, clinical staff, each additional 30 min | $54.11 |
| 99424 | PCM, gastroenterologist personally, first 30 min | $87.51 |
| 99490 | CCM, clinical staff, first 20 min | $66.13 |
| 99439 | CCM, each additional 20 min | $50.44 |
| G0023 | PIN, first 60 min in the month | $87.18 |
| G0019 | CHI, first 60 min in the month | $86.17 |
PCM for IBD or liver disease
PCM needs at least 30 minutes in the calendar month. Your gastroenterologist’s own time and clinical staff time bill under different codes. Patients with two or more qualifying conditions may fit CCM instead; see what chronic care management is.
PIN for decompensated cirrhosis
A patient facing several procedures and transplant evaluation visits may fit PIN. It needs an initiating E/M visit (not 99211), condition-trained navigators and yearly consent renewal. G0023 and G0024 rules.
CHI for cost and transport barriers
G0019 covers the first 60 minutes of CHI work in a month and G0022 each additional 30, after an initiating visit by your practitioner.
Care Advocates confirm. Your GI team decides.
Care Advocates do not interpret results, change medicines or give medical advice.
| Situation | Care Advocate | Your clinicians |
|---|---|---|
| Prep or medication-hold question before a scope | Confirms the date and that the patient has your written instructions | Answer the question |
| IBD symptoms change | Records the answers to your plan’s questions and routes them under your escalation rules | Assess and decide on treatment |
| Ultrasound or labs due | Confirms the appointment your office booked | Order and read the study |
| Alcohol or diet questions in your plan | Asks them as written and records the answers | Counsel the patient |
Companian’s registered nurses, nurse practitioners, licensed clinical social workers and care companions work fully remotely under your billing practitioner’s general supervision. The services agreement defines it; have your counsel review it.
Questions gastroenterology practices ask
What is in the monthly file?
One row per patient: patient reference, program and code family, month of service, minutes by activity, activities and consent date. Nothing is billed until your team approves it.
Can one patient be on PCM and CHI in the same month?
Yes, if no minute is counted twice. The monthly file assigns every minute to a single code.
Is consent needed every month?
No. CCM consent, verbal or written, is documented once before billing; the patient can stop at any time, effective at the end of the month. Consent requirements.
Who bills, and what does Companian cost?
Your practice bills under its own NPI and receives the Medicare payment. Companian does not bill Medicare; we walk through our fee on the intro call. Cost of care management.
Rates & disclosures
National amounts are 2026 Medicare Physician Fee Schedule non-facility payments at the non-QP conversion factor of $33.4009, computed from CMS RVUs. Your amount depends on your Medicare payment locality; see it in the CCM/PCM revenue calculator. Actual payment depends on participation status, place of service and cost-sharing.
Companian supplies Care Advocates and documentation to physician practices nationwide. Companian is not a medical practice and does not bill Medicare. The billing practitioner keeps the care plan, every clinical decision and the claim. Patients pay the usual Medicare Part B deductible and coinsurance for these services unless other coverage pays it.
Care management for other specialties
The same Care Advocates and monthly file, written to each specialty’s conditions.
Add care management to your GI practice
A 15-minute call on your GI patients. No patient data needed.