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Chronic Condition Care Gets a Raise: 2026 Medicare Reimbursements Are Going Up!
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Big news for providers! ๐ŸŽ‰ The 2026 Medicare Physician Fee Schedule (PFS) is out, and itโ€™s packed with good news for anyone running Chronic Care Management (CCM), Remote Patient Monitoring (RPM), or Remote Therapeutic Monitoring (RTM) programs. CMS is proposing a ~8โ€“10% boost in reimbursements for key chronic care codes โ€” one of the largest jumps weโ€™ve seen in years. Plus, if youโ€™re participating in a qualifying Alternative Payment Model (APM), youโ€™ll get an extra 0.5% bump on top. ๐Ÿฉบ๐Ÿ’ฐ
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๐Ÿ“Š Quick Takeaways (TL;DR)

  • 8โ€“10% proposed increase in 2026 for CCM, RPM & RTM codes
  • New billing flexibility with codes that allow reimbursement for 2โ€“15 days of data ๐Ÿ“ˆ
  • More patients = more billable opportunities ๐Ÿ™Œ
  • Extra +0.5% incentive for APM participants


๐Ÿฉต Chronic Care Management (CCM) โ€” ~9% Reimbursement Increase
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CCM continues to shine in 2026! Medicare is giving providers a ~9% pay bump for helping patients manage chronic conditions.

  • 99490 โ†’ $60.49 โ†’ $65.67 โฌ†๏ธ (+8.6%)
  • 99439 โ†’ $45.93 โ†’ $50.26 โฌ†๏ธ (+9.4%)

No new codes here, just higher payouts โ€” meaning your existing workflows get more value without extra effort.

๐Ÿ’ก Translation: If youโ€™re running CCM, your 20-minute staff-led care sessions are now worth more than ever.
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๐Ÿ“ฑ Remote Therapeutic Monitoring (RTM) โ€” More Patients, More Revenue

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RTM gets a major upgrade in 2026 thanks to new codes that cover 2โ€“15 days of data collection. Before, many patients fell short of the 16-day threshold. Now, theyโ€™re billable! โœ…

  • New Codes โ†’ Expanded coverage for shorter monitoring periods
  • 98980 โ†’ $50.08 โ†’ $53.94 โฌ†๏ธ (+7.6%)

Overall, RTM reimbursements are set to increase ~20%, helping you unlock a whole new segment of patients while driving better engagement.

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๐Ÿ“ก Remote Patient Monitoring (RPM) โ€” Big Wins with New Codes

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RPM is also getting a ~25% bump overall ๐Ÿš€ โ€” the biggest gain of the three. CMS is introducing 99XX4, a new code for 2โ€“15 days of device data per 30-day period.

  • 99457 โ†’ $47.87 โ†’ $51.93 โฌ†๏ธ (+8.5%)
  • 99458 โ†’ $38.51 โ†’ $41.55 โฌ†๏ธ (+7.9%)

With more patients eligible and higher reimbursement per session, RPM programs become a major growth lever in 2026.

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๐Ÿง  What This Means for Providers

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This is one of the biggest reimbursement jumps weโ€™ve seen in years. If youโ€™re running (or considering starting) a CCM, RTM, or RPM program, 2026 is shaping up to be a huge opportunity:

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โœ… Higher payouts per patient

โœ… Lower barriers to billing with flexible codes

โœ… More patients covered under fewer restrictions
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CCN Healthโ€™s platform makes it simple to run all of these programs in one dashboard โ€” so you donโ€™t need to juggle multiple systems or worry about missing billable opportunities.

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๐Ÿ”— Next Steps

๐Ÿ“… Now is the time to start planning for 2026. Providers who prepare early will benefit the most from these changes.

At CCN Health, we help practices:

  • Launch CCM, RPM, RTM, PCM, & BHI programs fast โšก
  • Automate reporting, billing, and audit trails ๐Ÿ“Š
  • Integrate directly with EHRs like PCC, Athena, ALIS, and Charm ๐Ÿ”„

๐Ÿš€ Book a demo today and see how we make running multiple Medicare programs seamless: ccnhealth.com

๐Ÿ“Œ Full CPT Reimbursement Table (2025 โ†’ 2026)

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Program Code 2025 Rate 2026 Proposed % Change
CCM 99490 $60.49 $65.67 +8.6%
CCM 99439 $45.93 $50.26 +9.4%
RTM 98980 $50.08 $53.94 +7.6%
RPM 99457 $47.87 $51.93 +8.5%
RPM 99458 $38.51 $41.55 +7.9%
RPM/RTM 99XX4 New TBD โ€”

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