99491 Chrnc care management phys first 30
Also known as: chronic care management physician, CCM physician
Chronic care management service provided by physician for first 30 minutes of patient interaction, including comprehensive assessment and care coordination.
In Plain Language
doctor coordinates your care for long-term health conditions
Clinical Context
Used when physician provides care coordination and management for established chronic conditions in patients with multiple acute and chronic diseases.
RVU Breakdown
| Work RVU | 1.50 |
| Total RVU | 1.50 |
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 1.50, this code ranks in the 50th percentile among Evaluation & Management codes — 1.0x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99491?
CPT 99491 (Chrnc care management phys first 30) is a Evaluation & Management code. Chronic care management service provided by physician for first 30 minutes of patient interaction, including comprehensive assessment and care coordination.
Who uses CPT code 99491?
CPT 99491 is used by Internal Medicine, Family Medicine, Cardiology. Used when physician provides care coordination and management for established chronic conditions in patients with multiple acute and chronic diseases.
When is CPT 99491 used?
Used when physician provides care coordination and management for established chronic conditions in patients with multiple acute and chronic diseases.
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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.