CPT code 99439: Chronic care management, clinical staff, each additional 20 minutes2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $50.69 for 99439 in the office and $30.77 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99439 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 99439 covers

This service captures additional clinical staff time spent on chronic care management (CCM) for a patient with at least two chronic conditions expected to last at least 12 months or until death and posing a significant risk of death, acute exacerbation, or functional decline. Nurses, medical assistants, and care coordinators working under a physician or other qualified health care professional may perform the work. Activities include phone outreach, medication follow-up, coordination with pharmacies, specialists, and home health, and monitoring a comprehensive care plan. Primary care and internal medicine offices commonly furnish these services.

Report 99439 with 99490 when at least 40 minutes of qualifying time is documented for the calendar month: the initial 20 minutes for 99490 and a full additional 20 minutes for 99439. Medicare permits up to two units of 99439 per month. As an add-on, 99439 is billed with its primary service and paid within that service’s global period. Documentation should support patient consent, the care plan, qualifying activities, and cumulative time. Do not report it with complex CCM codes 99487 or 99489 for the same patient in the same month.

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 Puerto Rico compares for 99439

Across 109 of 109 payment localities, the office rate for 99439 runs from $46.05 in Arkansas to $63.45 in San Benito County, CA. Puerto Rico pays $50.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99439 rates by state

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

See 99439 in every payment locality

How the 99439 rate is calculated

Each of 99439’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 99439

The CMS indicators that decide how 99439 is paid alongside other services.

Codes related to 99439

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

How 99439 has changed in Puerto Rico

Price 99439 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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