Care management services have played an increasing role patient care management. CMS and other payers no longer pay only for face-to-face services, a concept that would have been unthinkable 15 years ago. CMS began paying for Transitional Care Management Services in 2013, for chronic care management services in 2014. In the 2016 Final Rule, CMS asked for comments about improving payments and coding for care management services. In the meantime, CMS has also developed payment for Communication Based Technology Services (CBTS). Behavioral Health Integration codes followed, starting as HCPCS codes and then adopted by the AMA as CPT codes.

In 2026, CMS developed three new HCPCS codes that bundle together certain care management services and CBTS into a single monthly payment. Without counting minutes of time for management services provided by practitioners and clinical staff, Advanced Primary Care Management provides payment for practitioners who are the focal point for patients for all needed health care services. In 2026, CMS developed three additional HCPCS codes for behavioral health Collaboration of Care services provided to patients receiving APCM.

While parts of the service are simplified—no counting minutes—the requirements to bill APCM are significant.

Table of Contents

• Advanced Primary Care Management (APCM) at a glance
• Care Management and CTBS
• Documentation guidelines
• APCM requirements
• Add-on HCPCS Codes (new in 2026)
• HCPCS Code Descriptions

Additional Resources

• Advanced Primary Care Management Codes | Webinar