$62.32–$66.10
99437 adds 30 minutes of CCM personally furnished by a physician or QHP to 99491; 99439 adds 20 minutes to the clinical staff CCM service reported with 99490.
On this page
CMS RVU26D · Effective 2026-10-01
99439 Chronic care management Medicare reimbursement rates in Oregon
Report this add-on for each additional 20 minutes of clinical staff chronic care management in a calendar month beyond the initial time reported with 99490. Compare 99439 office and facility rates across CMS payment localities in Oregon.
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 99439 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$49.84–$53.20
2 of 2 localities have a supported rate.
Facility setting
$30.21–$31.31
2 of 2 localities have a supported rate.
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 99439: Additional 20 minutes of staff chronic care management
Report this add-on for each additional 20 minutes of clinical staff chronic care management in a calendar month beyond the initial time reported with 99490.
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.
CMS billing rules for 99439
- 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 RVU0.70 · 46%
- Practice expense (office) RVU0.76 · 50%
- Malpractice RVU0.05 · 3%
3.1M
Medicare services in 2024 · #59 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.
99439 compared with similar codes
Office rates for Oregon, from the same CMS release.
$77.29–$82.80
99489 adds 30 minutes to complex CCM, which requires moderate or high complexity medical decision making. Code 99439 adds 20 minutes to the CCM service reported with 99490.
$53.50–$57.25
99427 adds clinical staff time to principal care management under 99426 for one serious chronic condition; 99439 adds time to CCM under 99490 for two or more chronic conditions.
$40.94–$43.59
99458 adds 20 minutes of remote physiologic monitoring treatment management, including interactive communication. Code 99439 adds 20 minutes of CCM; time counted for one cannot be counted for the other.
Compare 99439 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$53.20
Facility
$31.31
Rest Of Oregon →
Office / nonfacility
$49.84
Facility
$30.21
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
99439 billing questions
How much total time is needed before 99439 can be billed?
At least 40 minutes of qualifying CCM time in the calendar month supports 99490 and one unit of 99439; at least 60 minutes supports 99490 and two units.
How many units of 99439 does Medicare allow per month?
Medicare permits up to two units per calendar month, each representing a full additional 20 minutes beyond the initial time reported with 99490.
Which add-on reports additional CCM time personally furnished by a physician or QHP?
Use 99437 with 99491 for an additional 30 minutes of personally furnished CCM. Code 99439 is the additional-time code paired with clinical staff CCM code 99490.
Can 99439 be reported in the same month as complex chronic care management?
No. Do not report 99490 and 99439 with complex CCM codes 99487 or 99489 for the same patient in the same month.
Can remote physiologic monitoring be billed in the same month as 99439?
Yes. Medicare allows remote physiologic monitoring treatment management, such as 99457 or 99458, in the same month as CCM, but the same minutes cannot be counted toward both services.
Does a partial 20-minute block count toward an additional unit?
No. Each unit of 99439 requires a full additional 20 minutes; a shorter remaining interval is not separately reportable.
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.
13,10899427,,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
13,11499447,,Ntrprof ph1/ntrnet/ehr 11-20,A,,0.70,0.37,,0.19,,0.07,1.14,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00