Billing & Reimbursement
CPT Codes & Billing Guides.
Medicare billing guides for every reimbursable care management program—RPM, CCM, PCM, BHI, and RTM. CPT codes, reimbursement rates, eligibility criteria, and documentation requirements in one place.
RPM
Remote Patient MonitoringRemote Patient Monitoring enables clinicians to monitor patient health data collected via FDA-cleared devices outside of traditional clinical settings. RPM is reimbursed through a set of CPT codes covering device setup, ongoing data transmission, and clinical time spent reviewing and acting on the data.
CCM
Chronic Care ManagementChronic Care Management provides reimbursement for the non-face-to-face care coordination services delivered to Medicare patients with multiple chronic conditions. CCM covers the development and management of comprehensive care plans, medication reconciliation, and coordination across providers and community services.
PCM
Principal Care ManagementPrincipal Care Management provides reimbursement for care management services focused on a single high-risk chronic condition. PCM is designed for patients who need intensive management of one complex condition rather than the multi-condition coordination provided by CCM. It is particularly suited for conditions requiring frequent monitoring and treatment adjustments.
BHI
Behavioral Health IntegrationBehavioral Health Integration supports the assessment and management of behavioral health conditions within primary care settings through a psychiatric collaborative care model. BHI enables primary care providers to deliver behavioral health services — including depression screening, anxiety management, and substance use disorder monitoring — with psychiatric consultation support.
RTM
Remote Therapeutic MonitoringRemote Therapeutic Monitoring enables clinicians to monitor non-physiologic data such as therapy adherence, pain levels, medication response, and functional status using FDA-cleared medical devices or software. Unlike RPM (which monitors physiologic data like blood pressure and glucose), RTM is designed for respiratory, musculoskeletal, and cognitive therapy outcomes tracking.

