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ACPMBase2026 Compliant

CPT G0557

2026 Billing Guide

APCM Level 2

Reimbursement

$48.84

Threshold

N/A

2026 Status

Active

What is CPT Code G0557?

CPT G0557 is defined as: Advanced Primary Care Management (APCM) services, Level 2. This bundle covers comprehensive longitudinal care management for patients with two or more chronic conditions expected to last at least 12 months. It requires a comprehensive care plan, 24/7 access to urgent clinical guidance, and systematic coordination of care. It serves as the primary management code for multimorbid primary care patients in the APCM model.

This code is primarily used for ACPM services. It falls under the category of Care Management / APCM and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

Physician Effort

PE (Non-Fac)

Practice Expense

Malpractice

Risk Factor

Total RVU

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

efficiency shield

Strategically exempt from the -2.5% efficiency adjustment. CMS views APCM Level 2 as the foundation of value-based primary care and has protected its valuation to support practice transformation.

transition opportunity

G0557 provides a higher-value alternative to standard CCM (99490) for practices that commit to the advanced APCM infrastructure requirements.

conversion factor

Utilizes the 2026 Non-QP baseline of $33.40.

Administrative Framework

Place of Service

11 (Office)12 (Home)

NCCI Exclusions

Do not bill with:994909948799491G0511

Key Modifiers

25Significant, separately identifiable E/M service. Often used during the encounter where APCM is initiated.
G0568-G0570Mandatory add-ons if Psychiatric CoCM or General BHI is provided within the APCM framework.

Operational Requirements

condition threshold

Patient must have two or more chronic conditions expected to last 12+ months or until death.

care plan requirement

A comprehensive, electronically accessible care plan must be established and shared with the patient and other relevant providers.

access requirement

The practice must ensure 24/7 access to a clinician who can provide urgent clinical guidance.

frequency

Billed once per calendar month.

Compliance Checklist

Detailed time tracking (cumulative for the month).
Specific clinical decision-making documentation.
Electronic care plan availability and access log.

Audit Defense

No specific audit defense elements defined.

2026 Update

NEW 2026 CODE. Replaces CCM for multimorbid patients in APCM-eligible practices. Stackable with APCM BHI add-ons.

Common Clinical Scenarios

No clinical examples provided.

Target Specialties & Utilization

Primary CareInternal MedicineGeriatrics

Typical Clinical Indications (ICD-10)

I10 & E11.9 (HTN & Type 2 Diabetes)J44.9 & I11.0 (COPD & Hypertensive Heart Disease)N18.3 & I25.10 (CKD Stage 3 & CAD)

Frequently Asked Questions

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CPT Code G0557 for APCM Level 2 - 2026 Reimbursement & Rules