This quick reference sheet includes clinical staff time, care planning and billing practitioner work criteria for chronic care management services. When coding for care management services services, practitioners need to distinguish between chronic care management and complex chronic care management, between who does the work, the practitioner or clinical staff, and the amount of time that needs to be performed. The coding may be easier than the workflow in the electronic health record, because the services aren’t the type that are documented in a visit note and must have the time spent noted. This reference sheet describes the coding requirements.

For additional details, see our chronic care management article.