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99427 Prin care management staff each additional

E&M +Add-on

Also known as: care management add-on, CCM staff add-on

Principal care management service provided by clinical staff for each additional 30 minutes beyond the first hour of chronic care management coordination.

Clinical Context

Used when nursing or clinical staff provides chronic care management services for complex patients with multiple chronic conditions requiring ongoing coordination beyond initial management period.

RVU Breakdown

Work RVU0.71
Practice Expense RVU0.86
Malpractice RVU0.05
Total RVU1.62

Est. Medicare Payment

$54.11

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

Specialties

Internal MedicineFamily MedicineNursing

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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.