2026 Billing Updates are HERE!!
New Codes as of January 1, 2026
99470 – RPM Intro (10 min)
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified healthcare professional time, in a calendar month requiring one real-time interactive communication with the patient/caregiver during the calendar month; first 10 minutes
99445 – RPM Device Supply and Transmission – 2-15 days
Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 2-15 days in 30-day period
98979 – RTM Intro (10 min)
Remote therapeutic monitoring treatment management services, physician or other qualified healthcare professional time in a calendar month requiring at least one real-time interactive communication with the patient/caregiver during the calendar month; first 10 minutes
98984 – RTM Device Respiratory Supply for 2-15 Days
Remote therapeutic monitoring (e.g., therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory system, 2-15 days in a 30 day period
98985 – RTM Device Musculoskeletal Supply for 2-15 Days
Remote therapeutic monitoring (e.g., therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskeletal system, 2-15 days in a 30 day period
G0568 (BHI Add on – CoCM Initial)
Initial psychiatric collaborative care management, in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements:
outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional,
initial assessment of the patient, including administration of validated rating scales,
with the development of an individualized treatment plan,
review by the psychiatric consultant with modifications of the plan if recommended,
entering patient in a registry and tracking patient follow-up and progress using the registry,
with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant,
and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies
(list separately in addition to the Advanced Primary Care Management code).
G0567 (BHI Add on – CoCM Subsequent)
Subsequent psychiatric collaborative care management, in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements:
tracking patient follow-up and progress using the registry,
with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant,
ongoing collaboration with and coordination of the patient’s mental health care with the treating physician or other qualified health care professional and any other treating mental health providers,
additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant,
provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies,
monitoring of patient outcomes using validated rating scales,
and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment
(list separately in addition to Advanced Primary Care Management code).
G0568 (BHI Add on – BHI)
Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements:
initial assessment or follow-up monitoring,
including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems,
including revision for patients who are not progressing or whose status changes,
facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation,
and continuity of care with a designated member of the care team
(list separately in addition to Advanced Primary Care Management code).