# CPT 99487

> Medicare paid $94.68 for CPT 99487 in the office (non-facility) setting and $53.28 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 1.1%.

## What it is

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.

## Selected release

- Release: Q3 2018 (2018 C)
- Effective: July 1 – September 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $94.68
- Facility national allowed amount: $53.28
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.00
- Office (non-facility) practice expense RVU: 1.57
- Facility practice expense RVU: 0.42
- Malpractice RVU: 0.06
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip
- Parsed file: PPRRVU18_JUL.csv, row 16,650
- Canonical page: https://localishealth.com/cpt/99487/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/99487/2018/C
- Last significant update: 2026-08-04T03:08:27+00:00