2026 Medicare Non-Facility Reimbursement Rates For Care Management Services
Care management services have become one of the most efficient and effective ways to provide ongoing care to patients between traditional or remote doctor's office visits. These services have also provided organizations with meaningful and growable revenue. To help you better understand your billing opportunities for care management services, we've put together a helpful, detailed resource that provides the 2026 Medicare non-facility reimbursement rates for care management services including:
- Remote patient monitoring (RPM)
- Including new codes 99445 & 99470
- Remote therapeutic monitoring (RTM)
- Including new RTM CPT codes 98984, 98985 & 98979
- Chronic care management (CCM)
- Principal care management (PCM)
- Advanced primary care management (APCM)
- Behavioral health integration (BHI)
- Chronic pain management (CPM)
- Community health integration (CHI)
- Principal illness navigation (PIN)
- Annual wellness visits (AWV)
Fill out the form on this page to receive this resource. The guide is broken out by care management service, with a chart providing each service's applicable CPT and/or HCPCS codes, short descriptions of these codes, and then the 2026 non-facility Medicare reimbursement rate associated with every code.
The 2026 edition of this remote care management coding and billing resource includes several noteworthy additions. In the 2026 Medicare Physician Fee Schedule (PFS) final rule, CMS announced the addition of two new RPM codes: 99470 for 10-19 minutes of care management and 99445 for 2-15 days of data collection. CMS also increased the conversion factor (CF), effectively raising Fee-for-Service reimbursement for many remote care management CPT codes.
You can learn more about these and the other significant remote care management changes finalized in the 2026 Medicare PFS final rule in this webinar.
* Disclaimer: This resource is for informational purposes only and does not constitute legal or other professional advice. Billing and coding requirements – especially in the care management space – can change and be reinterpreted often. You should always consult an attorney and/or medical billing professional prior to submitting claims for services to ensure that all requirements are met.
