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99437 Chrnc care management phys each additional

Evaluation & Management +Add-on

Also known as: chronic care management physician add-on, CCM physician add-on

Chronic care management service provided by physician for each additional 30 minutes beyond the first hour of established chronic condition management.

In Plain Language

doctor's care coordination for long-term health conditions

Clinical Context

Used when a physician provides chronic care management coordination for patients with multiple chronic conditions requiring ongoing physician oversight beyond the initial management period.

RVU Breakdown

Work RVU1.00
Total RVU1.00

Est. Medicare Payment

$33.40

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 1.00, this code ranks in the 30th percentile among Evaluation & Management codes — 1.5x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

Internal MedicineFamily MedicineCardiology

Frequently Asked Questions

What is CPT code 99437?

CPT 99437 (Chrnc care management phys each additional) is a Evaluation & Management code. Chronic care management service provided by physician for each additional 30 minutes beyond the first hour of established chronic condition management.

Who uses CPT code 99437?

CPT 99437 is used by Internal Medicine, Family Medicine, Cardiology. Used when a physician provides chronic care management coordination for patients with multiple chronic conditions requiring ongoing physician oversight beyond the initial management period.

When is CPT 99437 used?

Used when a physician provides chronic care management coordination for patients with multiple chronic conditions requiring ongoing physician oversight beyond the initial management period.

Track This Code in RVU Edge

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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.