Part of Chronic Pain Management
HCPCS G3002: Chronic Pain Management, first 30 minutes
First 30 minutes per calendar month of chronic pain management and treatment, bundling care-plan development, medication management, and care coordination.
Time threshold & code combinations
First 30 minutes of physician/QHP time per calendar month, including the required care-plan and assessment elements.
- G3003 is the add-on for each additional 15 minutes beyond this threshold
- Not billed alongside CCM, PCM, or BHI for the same patient using the same time or activities in the same month
Who can bill
- Physicians
- Non-physician practitioners eligible to bill E/M services
Eligibility & billing requirements
- Patient has chronic pain: persistent or recurrent pain lasting longer than 3 months
- Documented patient consent
- Diagnosis and assessment of chronic pain, including administration of a validated pain rating scale
- Development, implementation, or revision of a person-centered care plan
- Medication management specific to the patient's chronic pain
- Coordination with other practitioners furnishing related care (physical therapy, occupational therapy, behavioral health, and similar)
When to use it
New chronic low back pain program
A physician completes the initiating visit, develops a person-centered care plan, administers a validated pain rating scale, and documents 30 minutes of qualifying time in the first month.
Billing: G3002
Documentation checklist
- Time log showing at least 30 minutes
- Validated pain rating scale results
- Person-centered care plan entry
Common billing mistakes
- Billing G3002 without a documented validated pain rating scale
- Billing G3002 and CCM/PCM for the same time and activities in the same month