# CPT 99427: Principal care management services, each additional 30 minutes per month, clinical staff (add-on)

Medicare CPT 99427 pays $54.11 in a non-facility setting and $31.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $49.25 in Arkansas to $67.08 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/99427-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $54.11 |
| National facility | $31.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $67.08 | $42.90 |
| District of Columbia | $60.69 | $33.94 |
| California | $59.46 | $32.58 |
| New York | $59.16 | $33.82 |
| New Jersey | $59.09 | $33.52 |
| Washington | $58.53 | $32.63 |
| Massachusetts | $58.07 | $32.56 |
| Hawaii | $57.34 | $31.52 |
| Connecticut | $57.15 | $32.68 |
| Colorado | $55.87 | $31.70 |
| Florida | $55.79 | $33.00 |
| Maryland | $55.77 | $32.09 |
| Oregon | $55.38 | $31.45 |
| Rhode Island | $55.33 | $31.87 |
| New Hampshire | $55.08 | $31.43 |
| Illinois | $54.74 | $32.80 |
| Puerto Rico | $54.40 | $31.44 |
| Virgin Islands | $54.40 | $31.44 |
| Montana | $54.11 | $31.39 |
| Nevada | $53.86 | $31.12 |
| Pennsylvania | $53.85 | $31.60 |
| Minnesota | $53.77 | $30.40 |
| Delaware | $53.71 | $31.27 |
| Texas | $53.68 | $31.32 |
| Wyoming | $53.68 | $30.96 |
| Georgia | $53.16 | $31.49 |
| Virginia | $53.13 | $30.80 |
| North Dakota | $53.12 | $30.40 |
| Michigan | $53.04 | $31.71 |
| South Dakota | $53.00 | $30.29 |
| Vermont | $53.00 | $30.51 |
| Arizona | $52.98 | $30.97 |
| Utah | $52.22 | $30.87 |
| Maine | $52.21 | $30.51 |
| New Mexico | $52.06 | $31.23 |
| Wisconsin | $51.75 | $29.99 |
| Missouri | $51.72 | $30.87 |
| Louisiana | $51.69 | $30.96 |
| South Carolina | $51.68 | $30.69 |
| Ohio | $51.62 | $30.89 |
| North Carolina | $51.58 | $30.39 |
| Indiana | $51.15 | $30.10 |
| West Virginia | $51.07 | $31.33 |
| Idaho | $50.93 | $30.04 |
| Nebraska | $50.86 | $29.90 |
| Kentucky | $50.78 | $30.59 |
| Tennessee | $50.72 | $30.08 |
| Iowa | $50.66 | $29.88 |
| Oklahoma | $50.66 | $30.38 |
| Kansas | $50.52 | $29.99 |
| Alabama | $49.79 | $29.92 |
| Mississippi | $49.68 | $30.13 |
| Arkansas | $49.25 | $29.74 |

## Related codes

- 99424: Principal care management services, first 30 minutes per month, physician or QHP — https://www.med-reveal.com/rates/99424-cpt-fee-schedule
- 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
- 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 99427 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