CPT code 99487: Complex chronic care management, clinical staff, first 60 minutes2026 Medicare rate & RVUs in Queens, NY

In Queens, NY, Medicare pays $164.55 for 99487 in the office and $87.56 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99487 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 99487 covers

This service covers non-face-to-face care coordination during a calendar month for patients with at least two chronic conditions expected to last 12 months or until death. The conditions must place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline. Clinical staff work under the direction of a physician or other qualified health care professional to establish or substantially revise a comprehensive care plan. Activities can include medication management, communication with specialists, and coordination with home health services and caregivers. Primary care and geriatrics practices commonly provide this service for patients with multiple serious conditions.

Report one unit of 99487 per calendar month after at least 60 minutes of qualifying clinical staff time and moderate- or high-complexity medical decision making. Document patient consent, the conditions and associated risks, the established or substantially revised care plan, decision making, and dated time entries describing the work performed. Only one practitioner may bill chronic care management for the patient that month. Medicare requires an initiating face-to-face visit for a new patient or one not seen within the preceding year. Report 99489 for qualifying additional staff time beyond the first 60 minutes.

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 Queens, NY compares for 99487

Across 109 of 109 payment localities, the office rate for 99487 runs from $130.98 in Arkansas to $184.06 in San Benito County, CA. Queens, NY pays $164.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99487 rates by state

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

See 99487 in every payment locality

How the 99487 rate is calculated

Each of 99487’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 99487

99487 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 99487

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

How 99487 has changed in Queens, NY

Price 99487 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

• 99487 in New York · multiple payment areas

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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