# CPT 99437: Chronic Care Mgmt Svc Phys Ea Addl 30 Min Cal Mo

Medicare CPT 99437 pays $63.13 in a non-facility setting and $43.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $58.13 in Arkansas to $80.56 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99437-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $63.13 |
| National facility | $43.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $80.56 | $59.93 |
| District of Columbia | $70.07 | $47.25 |
| New York | $68.72 | $47.11 |
| New Jersey | $68.49 | $46.68 |
| California | $68.27 | $45.35 |
| Washington | $67.52 | $45.44 |
| Massachusetts | $67.10 | $45.33 |
| Connecticut | $66.40 | $45.53 |
| Hawaii | $65.90 | $43.87 |
| Florida | $65.43 | $46.00 |
| Maryland | $64.91 | $44.71 |
| Colorado | $64.77 | $44.16 |
| Illinois | $64.45 | $45.73 |
| Rhode Island | $64.41 | $44.40 |
| Oregon | $64.21 | $43.81 |
| New Hampshire | $63.96 | $43.79 |
| Puerto Rico | $63.39 | $43.81 |
| Virgin Islands | $63.39 | $43.81 |
| Montana | $63.12 | $43.75 |
| Pennsylvania | $63.03 | $44.06 |
| Nevada | $62.76 | $43.37 |
| Delaware | $62.73 | $43.59 |
| Texas | $62.72 | $43.65 |
| Wyoming | $62.52 | $43.15 |
| Michigan | $62.41 | $44.22 |
| Georgia | $62.38 | $43.90 |
| Minnesota | $62.28 | $42.34 |
| Virginia | $61.97 | $42.93 |
| Arizona | $61.94 | $43.17 |
| North Dakota | $61.74 | $42.37 |
| Vermont | $61.70 | $42.52 |
| South Dakota | $61.58 | $42.20 |
| New Mexico | $61.32 | $43.56 |
| Utah | $61.25 | $43.04 |
| Maine | $61.04 | $42.53 |
| Louisiana | $60.86 | $43.17 |
| Missouri | $60.84 | $43.06 |
| Ohio | $60.76 | $43.08 |
| South Carolina | $60.70 | $42.80 |
| West Virginia | $60.55 | $43.71 |
| North Carolina | $60.45 | $42.37 |
| Wisconsin | $60.36 | $41.80 |
| Indiana | $59.93 | $41.97 |
| Kentucky | $59.89 | $42.67 |
| Idaho | $59.70 | $41.88 |
| Oklahoma | $59.68 | $42.38 |
| Nebraska | $59.56 | $41.68 |
| Tennessee | $59.55 | $41.94 |
| Iowa | $59.39 | $41.66 |
| Kansas | $59.34 | $41.83 |
| Mississippi | $58.71 | $42.03 |
| Alabama | $58.69 | $41.74 |
| Arkansas | $58.13 | $41.49 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99437 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