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99424 Prin care management phys first 30

E&M

Also known as: principal care management, chronic care management, disease management

Principal care management services, for a single high-risk disease, chronic condition, or two or more chronic conditions lasting at least 30 days; care plan oversight and coordination of care by a physician or other qualified health professional; first 30 minutes of physician or other qualified health professional time in a calendar month.

Clinical Context

Used for comprehensive care management services for patients with high-risk, complex chronic conditions requiring intensive coordination and oversight by physician or qualified health professional.

RVU Breakdown

Work RVU1.45
Practice Expense RVU1.06
Malpractice RVU0.11
Total RVU2.62

Est. Medicare Payment

$87.51

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Primary CareAll Specialties

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.