99487 Complex chrnc care first 60 minutes
Also known as: complex chronic care management, CCM complex
Complex chronic care management service for first 60 minutes of clinical staff time, including comprehensive assessment, care coordination, and communication.
In Plain Language
in-depth care coordination for complex medical conditions
Clinical Context
Used for patients with multiple complex chronic conditions (>2 chronic conditions anticipated to last 12+ months) requiring intensive care coordination and monitoring.
RVU Breakdown
| Work RVU | 1.81 |
| Total RVU | 1.81 |
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 1.81, this code ranks in the 61st percentile among Evaluation & Management codes — 1.2x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99487?
CPT 99487 (Complex chrnc care first 60 minutes) is a Evaluation & Management code. Complex chronic care management service for first 60 minutes of clinical staff time, including comprehensive assessment, care coordination, and communication.
Who uses CPT code 99487?
CPT 99487 is used by Internal Medicine, Family Medicine, Nursing. Used for patients with multiple complex chronic conditions (>2 chronic conditions anticipated to last 12+ months) requiring intensive care coordination and monitoring.
When is CPT 99487 used?
Used for patients with multiple complex chronic conditions (>2 chronic conditions anticipated to last 12+ months) requiring intensive care coordination and monitoring.
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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.