The measure was on the ballot in 16 municipalities, so five voted against it.
The measure adds a small property tax surcharge to residents' tax bills to fund local initiatives on affordable housing, open space and historic preservation.
In Boston, the measure adds a 1 percent real estate surcharge.
It was a second go-around for CPA supporters in Boston. After the measure failed there in 2001, city voters easily approved it Tuesday by a margin of 74 percent to 26 percent.
Along with Boston, the following communities voted to adopt CPA, according to the coalition: Billerica, Chelsea, Holyoke, Hull, Norwood, Pittsfield, Rockland, Springfield, Watertown and Wrentham.
These places voted against it: Amesbury, Danvers, East Bridgewater, Palmer and South Hadley.
According to the coalition, 172 cities and towns in Massachusetts have now voted to adopt CPA since it was enacted in 2000.