99427 Prin care management staff each additional
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.
In Plain Language
ongoing health care coordination by nurse or care coordinator
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 RVU | 0.71 |
| Total RVU | 0.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 0.71, this code ranks in the 16th percentile among Evaluation & Management codes — 2.2x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99427?
CPT 99427 (Prin care management staff each additional) is a Evaluation & Management code. Principal care management service provided by clinical staff for each additional 30 minutes beyond the first hour of chronic care management coordination.
Who uses CPT code 99427?
CPT 99427 is used by Internal Medicine, Family Medicine, Nursing. 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.
When is CPT 99427 used?
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.
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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.