$84.23
99491 accounts for the initial 30 minutes of physician or qualified professional chronic care management in the month. Use 99437 only for additional qualifying time with that primary code.
On this page
CMS RVU26D · Effective 2026-10-01
99437 Chronic care management Medicare reimbursement rates in Kansas
Reports each additional 30 minutes of physician or qualified health care professional chronic care management performed during a calendar month. Compare 99437 office and facility rates across CMS payment localities in Kansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99437 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$59.34
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$41.83
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Care management
About 99437: Additional physician chronic care management
Reports each additional 30 minutes of physician or qualified health care professional chronic care management performed during a calendar month.
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.
CMS billing rules for 99437
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.00 · 53%
- Practice expense (office) RVU0.82 · 43%
- Malpractice RVU0.07 · 4%
31K
Medicare services in 2024 · #964 by national volume
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.
99437 compared with similar codes
Office rates for Kansas, from the same CMS release.
$47.17
99439 covers additional chronic care management time furnished by clinical staff under the 99490 pathway; 99437 is for physician or qualified professional time under the 99491 pathway.
$57.83
99425 is additional physician principal care management time for a single complex chronic condition. 99437 adds time to broader chronic care management reported with 99491.
Compare 99437 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
$59.34
Facility
$41.83
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99437 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
13,110
- Code
- 99437
- Physician work
- 1.00
- Practice expense
- 0.82
- Malpractice
- 0.07
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.000 | 1.0000 |
| Practice expense | 0.82 | × 0.904 | 0.7413 |
| Malpractice | 0.07 | × 0.504 | 0.0353 |
| Total RVUs | 1.7766 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$59.34
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 0.82 | 0.904 |
| Malpractice | 0.07 | 0.504 |
(1 × 1 + 0.82 × 0.904 + 0.07 × 0.504) × $33.4009 = $59.34
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 0.24 | 0.904 |
| Malpractice | 0.07 | 0.504 |
(1 × 1 + 0.24 × 0.904 + 0.07 × 0.504) × $33.4009 = $41.83
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,10799426,,Prin care mgmt staff 1st 30,A,,1.00,0.96,,0.25,,0.07,2.03,1.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,10899427,,Prin care mgmt staff ea addl,A,,0.71,0.86,,0.18,,0.05,1.62,0.94,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,10999429,,Unlisted preventive service,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11099437,,Chrnc care mgmt phys ea addl,A,,1.00,0.82,,0.24,,0.07,1.89,1.31,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11199439,,Chrnc care mgmt staf ea addl,A,,0.70,0.76,,0.17,,0.05,1.51,0.92,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11299445,,Rem mntr physiol param 2-15,A,,0.00,1.55,,1.55,NA,0.01,1.56,1.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11399446,,Ntrprof ph1/ntrnet/ehr 5-10,A,,0.35,0.18,,0.09,,0.04,0.57,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958