# CPT 99489

> Medicare paid $47.01 for CPT 99489 in the office (non-facility) setting and $26.56 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment.

## 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: Q1 2017 (2017 A)
- Effective: January 1 – March 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $47.01
- Facility national allowed amount: $26.56
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.50
- Office (non-facility) practice expense RVU: 0.78
- Facility practice expense RVU: 0.21
- Malpractice RVU: 0.03
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip
- Parsed file: PPRRVU17_V1219.csv, row 16,464
- Canonical page: https://localishealth.com/cpt/99489/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/99489/2017/A
- Last significant update: 2026-08-04T03:07:28+00:00