Finalized 2025 Medicare Physician Fee Schedule advances CCM and Value-Based Care with New Advanced Primary Care Management Codes

Finalized 2025 Medicare Physician Fee Schedule advances CCM and Value-Based Care with New Advanced Primary Care Management Codes

Remote physiological monitoring (RPM) and chronic care management (CCM) are well-established programs with years of operational and billing experience in many practices. These billable activities have allowed health care providers to offer more comprehensive care to Medicare beneficiaries outside of their traditional in-person doctor’s visits. Because the U.S. Centers for Medicare & Medicaid Services (CMS) views these as complementary activities, providers are also able to leverage the right program for each patient, which often means enrolling some patients in both RPM and CCM services and billing for these services concurrently.

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These APCM codes simplify billing compared with existing care-management codes and encourage practices to transform care delivery by integrating comprehensive, continuous management for patients with chronic conditions — signaling Medicare’s push to better reimburse longitudinal care outside of episodic visits. 


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