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

In Montana, Medicare pays $63.12 for 99437 in the office and $43.75 when it’s performed in a hospital or facility.

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.

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 Montana 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. Montana pays $63.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99437 rates by state

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

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.

Payment rules and modifiers for 99437

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

Codes related to 99437

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99437 has changed in Montana

Price 99437 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates