Remote Care Billing Codes
Comprehensive guide to CPT and HCPCS codes for remote care management services. Includes 2026 updates and new "Lite" fallback codes.
All Categories
G0506Comprehensive AssessmentOne-time add-on for comprehensive assessment and care planning. Billed at the start of CCM services alongside an office visit.
99490Basic CCMFirst 20 minutes of clinical staff time per month. Requires 2+ chronic conditions.
99439Additional TimeAdd-on for each additional 20 minutes of staff time. Can be billed multiple times (typically up to twice).
99487Complex CCMComplex CCM. Requires 60 minutes of staff time and high-complexity medical decision making.
99489Complex AdditionalAdd-on for each additional 30 minutes of Complex CCM staff time.
99453Device SetupInitial setup and patient education on the device. Billed once when the device is delivered.
99454Device Supply (16+ days)Supply of the device with daily recordings. Requires 16+ days of data transmission in a 30-day period.
99445Device Supply Lite (2-15 days)NEW 2026LiteFallback code if the patient only achieves 2-15 days of data transmission (instead of the full 16).
99457Management (20+ mins)First 20 minutes of clinical staff time communicating with the patient about their data.
99470Management Lite (10-19 mins)NEW 2026LiteFallback code if staff only spends 10-19 minutes managing the patient (instead of the full 20).
99458Additional ManagementAdd-on for each additional 20 minutes of staff time.
98975Device SetupInitial setup and education for the RTM device.
98976Respiratory Device (16+ days)Supply of device for Respiratory monitoring. Requires 16+ days of data.
98977MSK Device (16+ days)Supply of device for Musculoskeletal monitoring. Requires 16+ days of data.
98984Respiratory Device LiteNEW 2026LiteFallback code if patient only achieves 2-15 days of Respiratory data transmission.
98985MSK Device LiteNEW 2026LiteFallback code if patient only achieves 2-15 days of MSK data transmission.
98980Management (20+ mins)First 20 minutes of clinical staff time managing RTM data.
98981Additional ManagementAdd-on for each additional 20 minutes of RTM staff time.
98979Management Lite (10-19 mins)NEW 2026LiteFallback code if staff only spends 10-19 minutes managing RTM.
G0556Level 1 (Healthy)For healthy Medicare patients with 0 or 1 chronic condition.
G0557Level 2 (2+ Conditions)For Medicare patients with 2+ chronic conditions.
G0558Level 3 (Dual Eligible)For QMB (Qualified Medicare Beneficiary) patients who have Medicare + Medicaid and 2+ conditions.
99426Staff Time (30 mins)30 minutes of clinical staff time dedicated to one complex condition.
99427Staff AdditionalAdd-on for each additional 30 minutes of PCM staff time.
99424Physician Time (30 mins)30 minutes of Physician/NPP time personally dedicated to one complex condition.
99425Physician AdditionalAdd-on for each additional 30 minutes of PCM physician time.
99484Care Management20 minutes of care management for behavioral health (Anxiety, Depression, Insomnia). Requires a rating scale like PHQ-9.
99492CoCM Initial (High Tier)High TierPsychiatric Collaborative Care Management. First 70 minutes in first month. Requires Psychiatric consultant.
99493CoCM SubsequentHigh TierPsychiatric Collaborative Care Management. Subsequent 60 minutes per month.
G0019CHI Navigation (60 mins)60 minutes of staff time spent navigating social needs (Food, Housing, Transport).
G0022CHI AdditionalAdd-on for each additional 30 minutes of CHI navigation services.
G0023PIN Navigation (60 mins)60 minutes of staff time navigating medical needs (Cancer, Substance Use, High-risk conditions).
G0024PIN AdditionalAdd-on for each additional 30 minutes of PIN navigation services.
99496High ComplexityRequires contact within 2 days of discharge AND a face-to-face visit within 7 days.
99495Moderate ComplexityRequires contact within 2 days of discharge AND a face-to-face visit within 14 days.
Important Billing Rules
The "Gotchas" — Know what can and cannot be combined
| Code A | Code B | Status | Reason |
|---|---|---|---|
| RPM | CCM | Allowed | Physiological monitoring + Care management allowed. |
| RPM | RTM | Blocked | Cannot bill two "device" codes in same month. Pick one. |
| CCM | APCM | Blocked | Cannot bill "Chronic Care" and "Advanced Primary Care" together. |
| CCM | PCM | Blocked | Cannot bill "Chronic Care" (General) and "Principal Care" (Specific). |
| RPM Full | RPM Lite | Blocked | Cannot bill >16 days (99454) and <16 days (99445) together. |
| CCM | BHI | Allowed | Physical + Mental health management allowed. |
| CCM | CHI | Allowed | Care management + Social navigation allowed. |
RPM + RTM Conflict
You cannot bill RPM (99454) and RTM (98976) in the same month. Pick the one that fits the primary diagnosis best.
APCM Exclusivity
If you bill APCM (G0556-G0558), you cannot bill CCM, PCM, or TCM in the same month. It replaces those for Primary Care.
The "Stack"
You CAN combine RPM + CCM + BHI + CHI in the same month, as long as time requirements are met separately (no double counting!).