CPT code 99437: Chronic care management, additional physician time2026 Medicare rate & RVUs in Oxnard, CA

Reports each additional 30 minutes of physician or qualified health care professional chronic care management performed during a calendar month.

CMS RVU26DEffective Oct 1, 2026One payment locality31K Medicare services in 2024

In Oxnard, CA, Medicare pays $68.17 for 99437 in the office and $45.27 when it’s performed in a hospital or facility.

$68.17Office (non-facility)
$45.27Hospital or facility
+8.0%vs the national office rate ($63.13)

Check a contract rate as a % of Medicare · 99437 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99437 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 99437 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99437 covers

Code 99437 captures an additional 30 minutes of chronic care management personally performed by a physician or other qualified health care professional during a calendar month. It supports ongoing coordination for a patient with multiple chronic conditions, such as coordinating a medication change with a specialist, updating the care plan, and following up on care transitions. The service is generally part of longitudinal outpatient management rather than a face-to-face visit, and the time must reflect qualifying work performed by the physician or qualified professional, not clinical staff time.

Report 99437 as an add-on to 99491, which accounts for the initial 30 minutes of physician or qualified professional chronic care management in the month. Documentation should identify the chronic care management activities, the responsible professional, and the time supporting each reported increment. Do not use it to count time already reported for another service or to represent staff-delivered chronic care management. CMS classifies it as an add-on code: it must be billed with its primary procedure, and payment is within that procedure's global period.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Oxnard, CA compares for 99437

Across 109 of 109 payment localities, the office rate for 99437 runs from $58.13 in Arkansas to $80.56 in Alaska. Oxnard, CA pays $68.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

99437 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$68.17
  2. Bakersfield, CA · California$65.48−$2.69
  3. Chico, CA · California$65.24−$2.93
  4. El Centro, CA · California$65.25−$2.92
  5. Fresno, CA · California$65.24−$2.93
  6. Hanford, CA · California$65.24−$2.93
  7. Los Angeles, CA · California$68.72+$0.55

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

99437 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$65.24$44.01
Merced, CACalifornia$65.24$44.01
Modesto, CACalifornia$65.24$44.01
Napa, CACalifornia$72.79$47.26
Redding, CACalifornia$65.24$44.01
Rest of CaliforniaCalifornia$65.24$44.01
Riverside, CACalifornia$66.01$44.78
Sacramento, CACalifornia$67.71$45.18

99437 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$58.13

$80.56

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99437 office rate range by state
State / territoryOffice rate rangeLocalities
AK$80.561
AL$58.691
AR$58.131
AZ$61.941
CA$65.24–$77.8229
CO$64.771
CT$66.401
DC$70.071
DE$62.731
FL$63.10–$67.833
GA$60.62–$64.142
GU$65.901
HI$65.901
IA$59.391
ID$59.701
IL$62.06–$66.534
IN$59.931
KS$59.341
KY$59.891
LA$59.88–$61.832
MA$64.64–$69.552
MD$63.60–$70.073
ME$60.05–$62.022
MI$61.05–$63.772
MN$62.281
MO$59.29–$61.823
MS$58.711
MT$63.121
NC$60.451
ND$61.741
NE$59.561
NH$63.961
NJ$67.21–$69.772
NM$61.321
NV$62.761
NY$61.06–$72.455
OH$60.761
OK$59.681
OR$62.32–$66.102
PA$60.75–$65.302
PR$63.391
RI$64.411
SC$60.701
SD$61.581
TN$59.551
TX$60.50–$64.528
UT$61.251
VA$61.97–$70.072
VI$63.391
VT$61.701
WA$64.45–$70.592
WI$60.361
WV$60.551
WY$62.521

See 99437 in every payment locality

How the 99437 rate is calculated

Each of 99437’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99437

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.00

1.00 RVUs× 1.000 GPCI

Practice expense0.82

0.82 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.8900

Conversion factor

$33.4009

Medicare rate

$63.13

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,110

Code
99437
Physician work
1.00
Practice expense
0.82
Malpractice
0.07

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 99437 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0281.0280
Practice expense0.82× 1.1820.9692
Malpractice0.07× 0.6230.0436
Total RVUs2.0408
Conversion factor× 33.4009

Office rate, Oxnard, CA$68.17

Office: (1 × 1.028 + 0.82 × 1.182 + 0.07 × 0.623) × $33.4009 = $68.17

Facility: (1 × 1.028 + 0.24 × 1.182 + 0.07 × 0.623) × $33.4009 = $45.27

Open 99437 in the RVU calculator

Payment rules and modifiers for 99437

The CMS indicators that decide how 99437 is paid alongside other services.

CMS payment indicators · 99437

Chronic care management, additional physician time

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 99437 has changed in Oxnard, CA

99437 · Office / nonfacility

$68.17

Effective 2026-10-01

The base rate is $6.17 higher than on 2025-10-01, moving from $62.00 to $68.17 (10.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $62.00changed to$68.17

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.72 changed to 0.82
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $64.02changed to$62.00

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $62.98changed to$64.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $64.45changed to$62.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.70 changed to 0.72
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651
  5. January 1, 2023

    RVU23A

    $65.70changed to$64.45

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.69 changed to 0.70
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$65.70

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$68.17$45.27RVU26D
2026-07-01$68.17$45.27RVU26C
2026-04-01$68.17$45.27RVU26B
2026-01-01$68.17$45.27RVU26A
2025-10-01$62.00$50.52RVU25D
2025-07-01$62.00$50.52RVU25C
2025-04-01$62.00$50.52RVU25B
2025-01-01$62.00$50.52RVU25A
2024-10-01$64.02$52.60RVU24D
2024-07-01$64.02$52.60RVU24C
2024-04-01$64.02$52.60RVU24B
2024-03-09$64.02$52.60RVU24AR
2024-01-01$62.98$51.74RVU24A
2023-10-01$64.45$53.25RVU23D
2023-07-01$64.45$53.25RVU23C
2023-04-01$64.45$53.25RVU23B
2023-01-01$64.45$53.25RVU23A
2022-10-01$65.70$55.09RVU22D
2022-07-01$65.70$55.09RVU22C
2022-04-01$65.70$55.09RVU22B
2022-01-01$65.70$55.09RVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 99437 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

99437 billing questions

Which primary code is paired with 99437?

Pair 99437 with 99491, the physician or qualified health care professional code for the initial 30 minutes of chronic care management in the month.

Can 99437 report clinical staff time?

No. It represents additional time personally furnished by a physician or other qualified health care professional. Staff-delivered chronic care management uses a different code pathway.

How much time supports one unit?

Document each additional 30-minute increment of qualifying physician or qualified professional chronic care management performed during the calendar month.

How does 99437 differ from 99439?

99437 is for additional physician or qualified professional time in the 99491 pathway; 99439 is for additional clinical staff time in the 99490 pathway.

What documentation supports 99437?

Record the chronic care management work performed, the physician or qualified professional who performed it, and the time supporting the additional increment.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 99437PPRRVU2026_Oct_nonQPP.csv, line 13,110 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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