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September 15, 2025

Chronic Care Management | Reference Sheet


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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.

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Last revised June 26, 2024 - Betsy Nicoletti
Tags: care management

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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