The families
Code families
- Chronic Care Management (CCM)What Chronic Care Management pays in 2026: CPT 99490/99439 national rates, who can bill, the 20-minute threshold, consent and enrollment gates, and the denial traps.
- Remote Physiologic Monitoring (RPM)What Remote Physiologic Monitoring pays in 2026: CPT 99453–99458 rates plus the new 99445/99470 short-supply codes, the 16-day rule, and the denial traps.
- Remote Therapeutic Monitoring (RTM)What Remote Therapeutic Monitoring pays in 2026: CPT 98975–98981 rates, the therapy lane for PTs, OTs and SLPs, discipline modifiers, and the denial traps.
- Transitional Care Management (TCM)What Transitional Care Management pays in 2026: CPT 99495 and 99496 rates, the 2-business-day contact rule, face-to-face deadlines, and the traps that void a claim.
- Behavioral Health Integration (BHI)What Behavioral Health Integration pays in 2026: CPT 99484 and HCPCS G0323 rates, the monthly rating-scale requirement, who bills which code, and the denial traps.
- Psychiatric Collaborative Care (CoCM)What psychiatric Collaborative Care pays in 2026: CPT 99492, 99493, 99494 and G2214 rates, the initial-vs-subsequent month rule, team requirements, and denial traps.
- Principal Care Management (PCM)What Principal Care Management pays in 2026: CPT 99424–99427 rates, the single-condition rule, 30-minute thresholds, and how PCM differs from CCM.
- Caregiver Training Services (CTS)What Caregiver Training Services pay in 2026: CPT 97550–97552, 96202–96203 and the G0539–G0543 codes — training a caregiver without the patient present, billed properly.
- Community Health Integration (CHI)What Community Health Integration pays in 2026: HCPCS G0019 and G0022 rates, the upstream-driver requirement, community health workers, and the denial traps.
- Principal Illness Navigation (PIN)What Principal Illness Navigation pays in 2026: HCPCS G0023 and G0024 rates, the serious-condition requirement, navigator rules, and per-condition billing.
- PIN — Peer Support (PIN-PS)What Principal Illness Navigation — Peer Support pays in 2026: HCPCS G0140 and G0146 rates, certified peer-support specialists, and the behavioral-health scope rules.
- Advanced Primary Care Management (APCM)What Advanced Primary Care Management pays in 2026: the G0556/G0557/G0558 monthly bundles, the new G0568–G0570 behavioral add-ons, and how APCM replaces minute counting.
- Interprofessional ConsultationsWhat interprofessional consultations pay in 2026: CPT 99446–99452 and the G0546–G0551 behavioral-health codes, consent duties, time tiers, and honesty flags.