# CPT 99424: Principal care management services, first 30 minutes per month, physician or QHP

Medicare CPT 99424 pays $87.51 in a non-facility setting and $64.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $80.74 in Arkansas to $112.38 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99424-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $87.51 |
| National facility | $64.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $112.38 | $88.19 |
| District of Columbia | $96.84 | $70.09 |
| New York | $95.22 | $69.88 |
| New Jersey | $94.77 | $69.19 |
| California | $94.05 | $67.18 |
| Washington | $93.22 | $67.33 |
| Massachusetts | $92.69 | $67.17 |
| Connecticut | $91.98 | $67.52 |
| Florida | $91.11 | $68.32 |
| Hawaii | $90.81 | $64.99 |
| Maryland | $89.93 | $66.25 |
| Illinois | $89.83 | $67.89 |
| Colorado | $89.55 | $65.39 |
| Rhode Island | $89.20 | $65.74 |
| Oregon | $88.78 | $64.85 |
| New Hampshire | $88.50 | $64.86 |
| Puerto Rico | $87.84 | $64.88 |
| Virgin Islands | $87.84 | $64.88 |
| Montana | $87.50 | $64.79 |
| Pennsylvania | $87.48 | $65.22 |
| Texas | $86.97 | $64.60 |
| Delaware | $86.96 | $64.52 |
| Nevada | $86.93 | $64.20 |
| Michigan | $86.85 | $65.52 |
| Georgia | $86.68 | $65.01 |
| Wyoming | $86.56 | $63.84 |
| Minnesota | $85.95 | $62.58 |
| Arizona | $85.88 | $63.88 |
| Virginia | $85.83 | $63.50 |
| Vermont | $85.34 | $62.86 |
| North Dakota | $85.33 | $62.62 |
| New Mexico | $85.31 | $64.48 |
| South Dakota | $85.07 | $62.36 |
| Utah | $85.01 | $63.66 |
| Louisiana | $84.60 | $63.86 |
| Maine | $84.57 | $62.86 |
| Missouri | $84.54 | $63.70 |
| Ohio | $84.46 | $63.72 |
| West Virginia | $84.46 | $64.72 |
| South Carolina | $84.27 | $63.28 |
| North Carolina | $83.81 | $62.62 |
| Wisconsin | $83.48 | $61.72 |
| Kentucky | $83.27 | $63.08 |
| Indiana | $83.04 | $61.98 |
| Oklahoma | $82.90 | $62.62 |
| Idaho | $82.74 | $61.85 |
| Tennessee | $82.59 | $61.94 |
| Nebraska | $82.50 | $61.54 |
| Iowa | $82.29 | $61.50 |
| Kansas | $82.29 | $61.76 |
| Mississippi | $81.63 | $62.07 |
| Alabama | $81.49 | $61.62 |
| Arkansas | $80.74 | $61.23 |

## Related codes

- 99425: Principal care management services, each additional 30 minutes per month, physician or QHP (add-on) — https://www.med-reveal.com/rates/99425-cpt-fee-schedule
- 99426: Principal care management services, first 30 minutes per month, clinical staff — https://www.med-reveal.com/rates/99426-cpt-fee-schedule
- 99427: Principal care management services, each additional 30 minutes per month, clinical staff (add-on) — https://www.med-reveal.com/rates/99427-cpt-fee-schedule
- 99439: Chronic care management services, non-complex, each additional 20 minutes per month (add-on) — https://www.med-reveal.com/rates/99439-cpt-fee-schedule
- 99484: General behavioral health integration care management, first 20 minutes per month — https://www.med-reveal.com/rates/99484-cpt-fee-schedule
- 99487: Complex chronic care management services, first 60 minutes per month — https://www.med-reveal.com/rates/99487-cpt-fee-schedule
- 99489: Complex chronic care management services, each additional 30 minutes per month (add-on) — https://www.med-reveal.com/rates/99489-cpt-fee-schedule
- 99490: Chronic care management services, non-complex, first 20 minutes per month — https://www.med-reveal.com/rates/99490-cpt-fee-schedule

Commercial negotiated rates for 99424 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules