99489 Complex chrnc care each additional 30
Also known as: complex chronic care management add-on, CCM complex additional
Complex chronic care management service for each additional 30 minutes of clinical staff time beyond the first 60 minutes.
In Plain Language
continued in-depth care coordination for complex conditions
Clinical Context
Used for prolonged complex chronic care management requiring additional staff time for extensive coordination of multiple specialties and health conditions.
RVU Breakdown
| Work RVU | 1.00 |
| Total RVU | 1.00 |
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 1.00, 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
Frequently Asked Questions
What is CPT code 99489?
CPT 99489 (Complex chrnc care each additional 30) is a Evaluation & Management code. Complex chronic care management service for each additional 30 minutes of clinical staff time beyond the first 60 minutes.
Who uses CPT code 99489?
CPT 99489 is used by Internal Medicine, Nursing, Family Medicine. Used for prolonged complex chronic care management requiring additional staff time for extensive coordination of multiple specialties and health conditions.
When is CPT 99489 used?
Used for prolonged complex chronic care management requiring additional staff time for extensive coordination of multiple specialties and health conditions.
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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.