New CPT codes may make it easier to perform, get paid for chronic care

Why This Topic Matters

Chronic care management services can be difficult to reimburse, and updates from CPT and CMS may affect how these services are reported and paid. Understanding the scope of the article helps readers identify whether they need guidance on current and proposed chronic care management coding, documentation, and payer adoption.

Article Sections

1. Chronic care management and reimbursement context

   Introduces the general reimbursement challenges for chronic care management and the broader CPT and CMS developments affecting this area.

2. CPT code changes and related CMS proposals

   Summarizes the CPT revisions discussed in the article alongside the related CMS chronic care management rulemaking and how the two efforts compare.

3. Current CPT chronic care coordination codes

   Reviews the existing CPT chronic care coordination framework and the article’s discussion of payment experience under private payer policies.

4. Document specifics to improve payment chances

   Describes the documentation elements highlighted in the article as relevant to submitting claims for chronic care coordination services.

5. Other CPT changes

   Covers additional CPT revisions, naming changes, and the article’s discussion of how these updates relate to the CMS proposal.