2025 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 2025 Medicare non-facility reimbursement rates for care management services including:
- Remote patient monitoring (RPM)
- Remote therapeutic monitoring (RTM)
- Chronic care management (CCM)
- Principal care management (PCM)
- Behavioral health integration (BHI)
- Chronic pain management (CPM)
- Community health integration (CHI)
- Principal illness navigation (PIN)
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 2025 non-facility Medicare reimbursement rate associated with every code.
The 2025 edition of this remote care management coding and billing resource includes several noteworthy additions. In the 2025 Medicare Physician Fee Schedule (PFS) final rule, CMS announced it will discontinue G0511 at the end June 2025, allowing FQHCs and RHCs to bill the remote care management CPT codes.
You can learn more about these and the other significant remote care management changes finalized in the 2025 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.
