I’m new to CCM billing and have a question regarding phrasing in the CMS CCM Services Guide. CCM cannot be billed during the same service period as HCPCS codes…… Does this mean by the same billing provider or any billing provider? For example, a pulmonologist is billing CCM for the same month a nephrologist bills ESRD services. They are in the same group, but different specialties. Can the nephrologist bill and be paid for ESRD and the pulmonologist bill and be paid for CCM services?

The previous sentence specifies limitations for the billing provider – cannot report both complex and non-complex CCM during the same month, but the next sentence strikes me as vague. And who would expect vague instructions from CMS, lol!

Thanks for any and all information!