Chronic Pain

Chronic Pain Management

Q: Who qualifies for Chronic Pain Management (CPM)?

Chronic pain lasting longer than 3 months, established by the billing practitioner when they first bill G3002 (recorded at that signature). A pain-relevant diagnosis on the signed care plan, with a goal under it; it leads the claim. An in-person initiating visit of at least 30 minutes by the billing practitioner, in or before their first G3002 month. A billing practitioner who can prescribe — G3002/G3003 pay for the physician or other qualified health professional personally; staff time never counts. Patient consent to the billing practitioner, with how often the service happens and the coinsurance explained. CMS names CCM, TCM, BHI, RPM and RTM as billable in the same month — time is never counted twice. willowbridge bills one CPM practitioner per patient per month.

Q: Which codes does willowbridge bill for CPM, and when?

Bill G3002 for the first 30 minutes of chronic pain management the billing practitioner provides personally in a calendar month, then one G3003 for each further full 15 minutes — at 45, 60, 75 and 90. willowbridge stops at 90 minutes (G3002 + 4 × G3003, the most one date of service takes). Staff minutes never count.

CPM Period: Calendar month Source: CMS-1832-F (CY 2026 PFS Final Rule)

What it is

Chronic Pain Management (CPM) is a monthly Medicare service for patients with chronic pain — persistent or recurrent pain lasting longer than 3 months. It pays for the billing practitioner's own time: assessment with a validated pain scale, a person-centered care plan, medication management where appropriate, pain and health-literacy counseling, and coordination with behavioral health and other treating clinicians. Medicare pays about $86 for G3002 and $32 for each G3003 (CY 2026 national, non-facility); Part B cost sharing applies.

willowbridge holds a month — never voids it — until its record is complete: the practitioner's in-person initiating visit, the consent to that practitioner, a pain diagnosis with a goal on the signed care plan, and a PEG pain-and-function scale dated in the month (willowbridge's standard; CMS sets no frequency). The practitioner records the chronic-pain determination when signing their first G3002 month. Every missing piece is recorded on the chart's CPM record, with no re-enrolling, and a month that will hold says so — and why — on the chart, the care app and the Programs board before the month ends.

Who qualifies

Chronic pain lasting longer than 3 months, established by the billing practitioner when they first bill G3002 (recorded at that signature).
A pain-relevant diagnosis on the signed care plan, with a goal under it; it leads the claim.
An in-person initiating visit of at least 30 minutes by the billing practitioner, in or before their first G3002 month.
A billing practitioner who can prescribe — G3002/G3003 pay for the physician or other qualified health professional personally; staff time never counts.
Patient consent to the billing practitioner, with how often the service happens and the coinsurance explained.
CMS names CCM, TCM, BHI, RPM and RTM as billable in the same month — time is never counted twice. willowbridge bills one CPM practitioner per patient per month.

Codes & when to bill them

How the minutes add upBill G3002 for the first 30 minutes of chronic pain management the billing practitioner provides personally in a calendar month, then one G3003 for each further full 15 minutes — at 45, 60, 75 and 90. willowbridge stops at 90 minutes (G3002 + 4 × G3003, the most one date of service takes). Staff minutes never count.

Each billable code, with the requirements that must be on file to bill it.

G3002Chronic pain management, first 30 minutes personally provided by the physician or other qualified health professional per calendar month; the first month needs the in-person initiating visit of at least 30 minutes.

RequirementsPain lasting longer than 3 months, established by the practitioner; pain diagnosis with a goal on the signed plan; PEG dated in the month; consent; 30+ practitioner minutes.
G3003Each additional full 15 minutes of chronic pain management, personally provided.

RequirementsAdd-on to G3002 in the same month; practitioner time only; willowbridge bills up to four (90 minutes).

Documentation required every cycle

Each calendar month must show:

The practitioner's own minutes (30 for G3002, each further full 15 for a G3003, up to 90), each entry on a CPM activity; staff entries are listed as not counted.
The pain diagnosis leading the claim, and the practitioner's determination that the pain has lasted longer than 3 months.
The initiating visit — in person, 30 minutes or more, by the billing practitioner.
A PEG pain-and-function scale dated inside the month, with the score.
The person-centered care plan — strengths, goals, clinical needs and desired outcomes — and medication management where appropriate.
The consent to the billing practitioner, and the practitioner's signature.

Built-in patient consentwillowbridge exclusive

Every program ships with compliant, CY-2026 patient consent language — read verbatim into the in-app consent capture flow, captured with date + modality, and version-pinned to each claim, so the consent on file always matches the consent that was billed. No more chasing signatures or re-papering when the rule changes.

Common questions

Who qualifies for Chronic Pain Management (CPM)?

Chronic pain lasting longer than 3 months, established by the billing practitioner when they first bill G3002 (recorded at that signature). A pain-relevant diagnosis on the signed care plan, with a goal under it; it leads the claim. An in-person initiating visit of at least 30 minutes by the billing practitioner, in or before their first G3002 month. A billing practitioner who can prescribe — G3002/G3003 pay for the physician or other qualified health professional personally; staff time never counts. Patient consent to the billing practitioner, with how often the service happens and the coinsurance explained. CMS names CCM, TCM, BHI, RPM and RTM as billable in the same month — time is never counted twice. willowbridge bills one CPM practitioner per patient per month.

Which codes does willowbridge bill for CPM, and when?

Bill G3002 for the first 30 minutes of chronic pain management the billing practitioner provides personally in a calendar month, then one G3003 for each further full 15 minutes — at 45, 60, 75 and 90. willowbridge stops at 90 minutes (G3002 + 4 × G3003, the most one date of service takes). Staff minutes never count.

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