{
    "code": "99489",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99489/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/99489/2023/C",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99489 in Q3 2023?",
        "text": "Medicare paid $70.49 for CPT 99489 in the office (non-facility) setting and $50.15 in a facility under the Q3 2023 Physician Fee Schedule, effective July 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 0.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "C",
        "label": "Q3 2023",
        "effective": "July 1 – September 30, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 70.49,
        "facility": 50.15,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1,
        "practice_expense_non_facility": 1.01,
        "practice_expense_facility": 0.41,
        "malpractice": 0.07
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q3 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/C",
        "file": "PPRRVU23_JUL.csv",
        "row": 18114,
        "sha256": "64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37"
    },
    "modified_at": "2026-08-04T03:12:57+00:00"
}