How to Generate an eSuperbill?
CCM > Billing
Practitioners can bill patients using both Billing Provider as well as Care Manager billing codes in CCM.
These services mainly consist of establishment of a comprehensive care plan, its revision and communication with other qualified health care professionals.
CPT codes that practices can bill for CCM are enlisted below:
CPT 99490:
Chronic care management services with the following required elements:
- multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,
- chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,
- comprehensive care plan established, implemented, revised, or monitored;
first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.
CPT 99491:
Chronic care management services, provided personally by a physician or other qualified health care professional, at least 30 minutes of physician or other qualified health care professional time, per calendar month, with the following required elements:
- multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient;
- chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline;
- comprehensive care plan established, implemented, revised, or monitored.
CPT 99487:
Complex chronic care management services with the following required elements:
- multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,
- chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,
- comprehensive care plan established, implemented, revised, or monitored,
- moderate or high complexity medical decision making;
first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.
CPT 99489:
Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)
CPT 99439:
Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)
Charges are posted to the patient for the services rendered by the provider.
To generate an eSuperbill, navigate to Billing module. Select the patient (s) and click ‘Generate eSuperbill’.
‘Billing Status’ of patients whose bill is not generated yet shows ‘Not Billed’ whereas billed patient’s status displays ‘Signed’.
Date of service (DOS) for each eSuperbill is the most recent date on which a task is performed by the provider.
DOS is auto populated here from the care plan of the patient.
The user is able to view all the activities that have taken place for a patient by clicking on the Log icon.
Log displays ‘Task’ name, ‘Time’ taken for that task, date of service and provider name.
eSuperbill is generated with ‘Rendering Provider’, ‘Location’ and ‘Diagnosis’ of the patient.
CPT 99437: 
CCM billing code for each additional 30 minutes by a physician or other qualified healthcare professional, per calendar month
- This code is structured as an add-on code for CPT 99491
- 99437 is reported in conjunction with 99491. 99437 cannot be reported for less than 30 minutes.
