- Evaluation and Management Services
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FAQs
- Admission and Discharge Services
- Advanced Care Planning
- Behavioral/Mental Health Services
- Chronic Care Management
- Complex and Chronic Care - HCPCS Code G2211
- Consultations
- Critical Care Services
- Documentation
- Emergency Department
- Examination
- Fee-For-Time Compensation Arrangements
- General E/M Information
- Global Period Services
- History
- IPPE and AWV Services
- Medical Decision Making
- New vs. Established Patients
- Nonphysician Practitioner Services
- Observation Services
- Preoperative Clearance
- Prolonged Services
- Provider Specialty
- Scribes
- Separately Identifiable Service
- Skilled Nursing Facility Services
- Smoking Cessation
- Split/Shared and Incident To Services
- Teaching Environment E/M Services
- Telehealth Services
- Time-Based Services
- Transitional Care Management
- Urgent Care
- Related Articles
Chronic Care Management
- The guidelines state moderate or high complex MDM. Do the E/M guidelines apply here?
Answer: Yes, the E/M guidelines for MDM are applicable, since chronic care management (CPT 99490) is included within the E/M classification of codes.
- Code G0506 (comprehensive assessment of and care planning for patients requiring chronic care management services-list separately in addition to primary monthly care management service). What would Medicare expect to see in the documentation to warrant “Comprehensive Assessment” on top of the IPPE, AWV or E/M to establish CCM?
Answer: Documentation of CCM must include a status assessment and plan for all chronic conditions identified within the E/M service (including the IPPE or AWV).
- Is patient consent required for the chronic care management service?
Answer: As of 1/1/2024, the CMS requirement for patient consent for this service will resume, and may be obtained by the billing provider or ancillary staff performing the service. The patient’s consent may be verbally obtained and must be documented in the medical record.
Reviewed 10/8/2024