Home
Career Stage
Medical Students Residents Attendings CPT Codes Resources Blog Support

99490 Chrnc care management staff first 20

E&M

Also known as: chronic care management staff, CCM staff

Chronic care management service provided by clinical staff for first 20 minutes of patient interaction, including assessment, coordination, and documentation.

Clinical Context

Used when nursing or clinical staff provides care coordination for patients with established chronic conditions, including care plan development and ongoing management.

RVU Breakdown

Work RVU1.00
Practice Expense RVU0.91
Malpractice RVU0.07
Total RVU1.98

Est. Medicare Payment

$66.13

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

NursingFamily MedicineInternal Medicine

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.