{
    "code": "99487",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99487/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/99487/2016/D",
    "description": "A month of behind-the-scenes care coordination for a patient with multiple serious ongoing conditions, covering the first hour of clinical staff time under a clinician's direction. The staff maintain a comprehensive care plan and spend the month chasing the things that fall between appointments - coordinating with specialists, reconciling medications, arranging home services, following up after hospital stays, and taking patient and caregiver calls. What separates it from ordinary chronic care management is both the amount of time and the difficulty of the decisions involved, which have to rise above routine.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 99487 in Q4 2016?",
        "text": "Not at a published national rate. CPT 99487 carries status B (bundled) in the Q4 2016 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "D",
        "label": "Q4 2016",
        "effective": "October 1 – December 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "B",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q4 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/D",
        "file": "PPRRVU16_V0804.csv",
        "row": 16308,
        "sha256": "376b12d2df1b1c1abaed1e123e9501352bf559c75a0a4f87f52878742af491c9"
    },
    "modified_at": "2026-08-04T03:07:13+00:00"
}