Care plan oversight (CPO) codes are still active, although many groups have transitioned to CCM, PCM or APCM.
- There are two sets of codes for care plan oversight, CPT® (99374–99380) and HCPCS codes (G0181, G0182)
- The requirements for each are different, including time thresholds and what activities may be included in the CPO time.
When CPT® developed and CMS recognized chronic care management (CCM) codes, many primary care groups looked at the requirements and took a pass. Even after CMS relaxed the requirements, it seemed too complicated and difficult for the reimbursement level.
You can read about CCM on CodingIntel or download the Care Management coding guide, if you want to reconsider providing and billing for CCM.
This article is going to look at Care Plan Oversight (CPO) codes not CCM, although I don’t see them billed.
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