99439 Chrnc care management staf each additional
Also known as: chronic care management staff add-on, CCM staff add-on
Chronic care management service provided by clinical staff for each additional 30 minutes beyond the first hour of established chronic condition management.
In Plain Language
nurse or coordinator care for long-term health conditions
Clinical Context
Used when nursing or clinical staff provides chronic care management services for complex patients with established chronic conditions requiring ongoing staff coordination beyond initial management.
RVU Breakdown
| Work RVU | 0.70 |
| Total RVU | 0.70 |
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 0.70, this code ranks in the 15th 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 99439?
CPT 99439 (Chrnc care management staf each additional) is a Evaluation & Management code. Chronic care management service provided by clinical staff for each additional 30 minutes beyond the first hour of established chronic condition management.
Who uses CPT code 99439?
CPT 99439 is used by Nursing, Family Medicine, Internal Medicine. Used when nursing or clinical staff provides chronic care management services for complex patients with established chronic conditions requiring ongoing staff coordination beyond initial management.
When is CPT 99439 used?
Used when nursing or clinical staff provides chronic care management services for complex patients with established chronic conditions requiring ongoing staff coordination beyond initial management.
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.