99490 Chrnc care management staff first 20
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.
In Plain Language
nurse or coordinator helps manage your long-term health conditions
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 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 99490?
CPT 99490 (Chrnc care management staff first 20) is a Evaluation & Management code. Chronic care management service provided by clinical staff for first 20 minutes of patient interaction, including assessment, coordination, and documentation.
Who uses CPT code 99490?
CPT 99490 is used by Nursing, Family Medicine, Internal Medicine. Used when nursing or clinical staff provides care coordination for patients with established chronic conditions, including care plan development and ongoing management.
When is CPT 99490 used?
Used when nursing or clinical staff provides care coordination for patients with established chronic conditions, including care plan development and ongoing management.
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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.