# CPT 99489

> Not at a published national rate. CPT 99489 carries status B (bundled) in the Q3 2015 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.

## What it is

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.

## Selected release

- Release: Q3 2015 (2015 C)
- Effective: July 1 – September 30, 2015
- Status indicator: B
- Office (non-facility) national allowed amount: not published
- Facility national allowed amount: not published
- Sequestration: not applied

## RVUs and formula

- Work RVU: not published
- Office (non-facility) practice expense RVU: not published
- Facility practice expense RVU: not published
- Malpractice RVU: not published
- Conversion factor: 35.7547
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2015)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15c.zip
- Parsed file: PPRRVU15_UP0.V0515.csv, row 16,075
- Canonical page: https://localishealth.com/cpt/99489/2014/B
- Release-specific citation URL: https://localishealth.com/cpt/99489/2015/C
- Last significant update: 2026-08-04T03:06:00+00:00