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Describe a service in plain words, or type a CPT/HCPCS code.

Complex Chronic Care Management, Extra Time

CPT 99489

Reported when a month of complex chronic care coordination substantially exceeds the time covered by the base service.

No national payment amount

Status B is not separately payable under the PFS.

Did Medicare pay separately for CPT 99489 in Q4 2014?

Not at a published national rate. CPT 99489 carries status B (bundled) in the Q4 2014 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.

Source: Physician relative value file (Q4 2014) · effective October 2014 · materially updated Aug 4, 2026 · compact facts

How often 99489 is billed

Across Original Medicare in CY2024, 99489 ranked #220 of the 7,879 CPT codes billed to Medicare that year, ranked by patients served or total allowed dollars. Patients who received it in 2024 were billed for it an average of 10.7 times that year — more than once per patient.

Beneficiaries
134,350
Office + facility patients combined
Services
1.4M
Times it was billed
Allowed
$96.2M
Total Medicare allowed dollars
Compare: ↑ #219 more popular · 70496 ↓ #221 less popular · 74183

2024 Medicare fee-for-service only, national totals — Medicare Advantage, Medicaid and commercial volume are excluded, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q4 2014 fee schedule the rates above come from.

Common questions

Why is there no payment amount for 99489?

Its status indicator is B (bundled). Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 99489 be denied or paid less?

Each item below comes from a CMS indicator on this page — not general billing advice.

  • Its status indicator is B (bundled) — Medicare folds payment for this code into the service it is incident to, never onto its own line. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. The 99489 rate last moved in Q1 2026 (+10.8% non-facility) — see its rate history or what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill?

What is a 99489 visit in patient-friendly terms?

In plain terms: Additional coordination time in a month when complex chronic care management runs beyond the hour already covered by the base service, in blocks of a further 30 minutes. The activity is identical - care plan upkeep, specialist coordination, medication reconciliation, follow-up calls - and only the volume differs. It is the mechanism for recording that a particular patient's month took considerably more staff work than the typical one. You'll typically see CPT 99489 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.

Computation & policy

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q4 2014

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

History & related

Rate history by release

National non-facility amount for 99489 across quarterly releases. Up 66.3% since Q1 2017 · high $78.16 in Q1 2026

$78 $65 $52 $39 $26 Q1 2017 · $47.01 Q2 2017 · $47.01 (0.0%) Q3 2017 · $47.01 (0.0%) Q4 2017 · $47.01 (0.0%) Q1 2018 · $47.16 (+0.3%) Q2 2018 · $47.16 (0.0%) Q3 2018 · $47.16 (0.0%) Q4 2018 · $47.16 (0.0%) Q1 2019 · $46.49 (-1.4%) Q2 2019 · $46.49 (0.0%) Q3 2019 · $46.49 (0.0%) Q4 2019 · $46.49 (0.0%) Q1 2020 · $44.75 (-3.7%) Q2 2020 · $44.75 (0.0%) Q3 2020 · $44.75 (0.0%) Q4 2020 · $44.75 (0.0%) Q1 2021 · $43.97 (-1.7%) Q2 2021 · $43.97 (0.0%) Q3 2021 · $43.97 (0.0%) Q4 2021 · $43.97 (0.0%) Q1 2022 · $70.60 (+60.6%) Q2 2022 · $70.60 (0.0%) Q3 2022 · $70.60 (0.0%) Q4 2022 · $70.60 (0.0%) Q1 2023 · $70.49 (-0.2%) Q2 2023 · $70.49 (0.0%) Q3 2023 · $70.49 (0.0%) Q4 2023 · $70.49 (0.0%) Q1 2024 · $72.23 (+2.5%) Q2 2024 · $72.23 (0.0%) Q3 2024 · $72.23 (0.0%) Q4 2024 · $72.23 (0.0%) Q1 2025 · $70.52 (-2.4%) Q2 2025 · $70.52 (0.0%) Q3 2025 · $70.52 (0.0%) Q4 2025 · $70.52 (0.0%) Q1 2026 · $78.16 (+10.8%) Q2 2026 · $78.16 (0.0%) Q3 2026 · $78.16 (0.0%) Q2 2014 Q4 2016 Q2 2019 Q3 2021 Q1 2024 Q3 2026
Non-facility Facility
Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present A $78.16 (0.0%) $43.76 (0.0%)
Q1 2026 Dec 29, 2025 – Mar 9, 2026 A $78.16 (+10.8%) $43.76 (-7.3%)

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q4 2014 release (schedule pfs, effective October 2014). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.

Description written from primary sources: CMS Medicare Physician Fee Schedule Relative Value Files. Not derived from AMA CPT descriptor text.

Physician relative value file (Q4 2014) · rvu14d.zip (PPRRVU14_V0815_v5.csv row 15,896)

Conversion factor $35.8228 read from the same file, row 11, column 25.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q4 2014 figures, even after a newer release lands.

CPT 99489 Medicare Physician Fee Schedule rate (Q4 2014). Localis. https://localishealth.com/cpt/99489/2014/D