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Medicare Care Management Rate Tracker

National Medicare reimbursement rates for CCM, Complex CCM, APCM, RPM, and RTM codes, by year, with year-over-year change and the official source for every figure. Last reviewed: November 4, 2026.

ProgramCodeDescription YearRateChange StatusEffectiveSource
APCM G0556 Advanced Primary Care Management, Level 1 — patients with 0 or 1 chronic condition, billed once per calendar month 2025 $15.20 — CURRENT Pending verification Jan 2025 CY2025 Medicare Physician Fee Schedule Final Rule (APCM) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
APCM G0557 Advanced Primary Care Management, Level 2 — patients with 2 or more chronic conditions, billed once per calendar month 2025 $48.84 — CURRENT Pending verification Jan 2025 CY2025 Medicare Physician Fee Schedule Final Rule (APCM) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
APCM G0558 Advanced Primary Care Management, Level 3 — patients with 2 or more chronic conditions who are also Qualified Medicare Beneficiaries, billed once per calendar month 2025 $107.07 — CURRENT Pending verification Jan 2025 CY2025 Medicare Physician Fee Schedule Final Rule (APCM) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
CCM 99439 Chronic care management, clinical staff time, each additional 20 minutes per calendar month 2026 $50.44 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
CCM 99490 Chronic care management, clinical staff time, first 20 minutes per calendar month (general supervision) 2026 $66.13 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
ComplexCCM 99487 Complex chronic care management, clinical staff time, first 60 minutes per calendar month (requires moderate/high complexity medical decision-making) 2026 $144.29 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
ComplexCCM 99489 Complex chronic care management, clinical staff time, each additional 30 minutes per calendar month 2026 $78.16 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RPM 99453 Remote physiologic monitoring, initial setup and patient education on equipment use (one-time per episode of care) 2026 $21.71 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RPM 99454 Remote physiologic monitoring, device supply with daily recording/programmed alert transmission, each 30 days 2026 $47.43 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RPM 99457 Remote physiologic monitoring treatment management, clinical staff/physician/QHP time in a calendar month, first 20 minutes, with at least one interactive communication 2026 $51.77 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RPM 99458 Remote physiologic monitoring treatment management, each additional 20 minutes per calendar month 2026 $41.42 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RTM 98975 Remote therapeutic monitoring, initial set-up and patient education (one-time per episode of care) 2026 $21.71 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RTM 98977 Remote therapeutic monitoring, device supply for musculoskeletal system status, each 30 days 2026 $40.08 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RTM 98980 Remote therapeutic monitoring treatment management, first 20 minutes per calendar month, with at least one interactive communication 2026 $54.11 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification
RTM 98981 Remote therapeutic monitoring treatment management, each additional 20 minutes per calendar month 2026 $41.42 — CURRENT Pending verification Jan 2026 CMS Physician Fee Schedule (National, Non-Facility) — billing-industry summary of the Medicare Physician Fee Schedule, pending administrator verification

How to Read This Table

Each row is one billing code for one calendar year. The Year column is the Medicare calendar year that rate applied to — Medicare's Physician Fee Schedule is set annually, so the same code can have a different row (and a different rate) for each year it has been tracked here. Change compares a row to the most recent earlier year tracked for that same code, so you can see the year-over-year direction and size of the adjustment. Status reflects whether a rate is finalized or still proposed, and whether it has been independently verified (see the FAQ below for what "pending verification" means). A row marked "(historical)" is no longer the active rate for that code but is kept visible rather than deleted, so past figures stay available for reference.

How This Tracker Works

This tracker draws from the same reimbursement-rate data ChronicSync's CCM Revenue Calculator and RPM Revenue Calculator use — so the numbers here and in those calculators can never drift apart. Every rate row is retained permanently once added: a rate change creates a new row rather than overwriting the old one, so historical figures stay available and accurate.

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Frequently Asked Questions

No. Medicare adjusts Physician Fee Schedule payments by locality using a Geographic Practice Cost Index (GPCI). The figures here are national, non-facility averages without that adjustment — your actual payment may be higher or lower. Use the CMS Physician Fee Schedule Look-Up Tool for a locality-adjusted figure.

Some figures are administrator-configured planning estimates sourced from consistent, independently-corroborated billing-industry summaries rather than an independently re-derived CMS raw payment file. Those rows are marked as requiring verification against the current CMS Physician Fee Schedule Look-Up Tool before being relied on for a billing decision.

No. Every rate row is retained permanently once created — a rate change adds a new row rather than overwriting the old one, so past-year figures stay accurate for historical reference.

CMS updates the Physician Fee Schedule at least annually. This tracker reflects the same rate data our revenue calculators use, reviewed on the same cadence and whenever CMS publishes a new final rule.

See What This Means for Your Practice

Use these rates in our revenue calculators to estimate the opportunity for your patient population.

CCM Revenue Calculator RPM Revenue Calculator