CPT code 99489: Complex chronic care management, each additional 30 minutes2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $76.75 for 99489 in the office and $42.93 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99489 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 99489 covers

Complex chronic care management is a monthly, non-face-to-face service for patients with two or more chronic conditions expected to last at least 12 months or until death and posing significant risk of death, acute exacerbation, or functional decline. Clinical staff, such as nurses and medical assistants working under the direction of a physician or qualified health care professional, coordinate with specialists, home health agencies, and pharmacies, manage medications, educate patients and caregivers, and maintain the care plan. Primary care practices, geriatric clinics, and nephrology or cardiology groups managing high-needs patients are typical billers.

Code 99489 captures additional clinical staff time after the first 60 minutes reported with 99487 in the same calendar month. The first 99489 unit requires at least 90 total minutes; each further unit requires another 30 minutes. The primary service requires moderate or high complexity medical decision making and establishment or substantial revision of a comprehensive care plan. Document dated staff activities and cumulative time, patient consent, and the care plan. CMS classifies 99489 as an add-on, payable only with its primary service within that service's global period. Its practice expense RVUs are higher in the office than in a facility.

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 Virginia compares for 99489

Across 109 of 109 payment localities, the office rate for 99489 runs from $71.04 in Arkansas to $99.50 in San Benito County, CA. Virginia pays $76.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99489 rates by state

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

See 99489 in every payment locality

How the 99489 rate is calculated

Each of 99489’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 99489

The CMS indicators that decide how 99489 is paid alongside other services.

Codes related to 99489

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

How 99489 has changed in Virginia

Price 99489 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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