99426 Prin care management staff first 30
Also known as: principal care management staff, CCM staff, chronic care management clinical
Principal care management services for a single high-risk disease or chronic condition, for a patient 18 years of age or older, by clinical staff, supervised by a physician or other qualified health professional; first 30 minutes of clinical staff time in a calendar month.
Clinical Context
Used for principal care management services provided by clinical staff under physician supervision, including care coordination and disease-specific management for patients with high-risk chronic conditions.
RVU Breakdown
| Work RVU | 1.00 |
| Practice Expense RVU | 0.96 |
| Malpractice RVU | 0.07 |
| Total RVU | 2.03 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.