15 things to know about Medicare’s Advanced Primary Care Management codes

Medicare began paying for Advanced Primary Care Management (APCM) services in January 2025, but most Medicare patients have not been enrolled. A new report from the Primary Care Collaborative (PCC), produced with West Health Policy Center, found APCM reached about 1.2% of fee-for-service Medicare beneficiaries by late 2025. This slideshow explains the codes, what a practice must provide to bill them and how early adopters talk with patients about the monthly copay. It draws on the PCC report and the panel discussion PCC hosted when it released the report Oct. 29, guidance from the U.S. Centers for Medicare & Medicaid Services, the American Academy of Family Physicians (AAFP) and the National Association of Community Health Centers (NACHC), and earlier Physicians Practice coverage.