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99425 Prin care management phys each additional

E&M +Add-on

Also known as: principal care management add-on, CCM additional, chronic disease management add

Principal care management services, for a single high-risk disease, chronic condition, or two or more chronic conditions lasting at least 30 days; each additional 15 minutes of physician or other qualified health professional time in a calendar month.

Clinical Context

Used to report each additional 15-minute increment of principal care management services beyond the first 30 minutes in a calendar month.

RVU Breakdown

Work RVU1.00
Practice Expense RVU0.77
Malpractice RVU0.07
Total RVU1.84

Est. Medicare Payment

$61.46

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.