# CPT 99439: Chronic care management services, non-complex, each additional 20 minutes per month (add-on)

Medicare CPT 99439 pays $50.44 in a non-facility setting and $30.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $46.05 in Arkansas to $63.03 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99439-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $50.44 |
| National facility | $30.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $63.03 | $42.04 |
| District of Columbia | $56.41 | $33.19 |
| California | $55.16 | $31.84 |
| New York | $55.08 | $33.09 |
| New Jersey | $54.97 | $32.78 |
| Washington | $54.38 | $31.91 |
| Massachusetts | $53.98 | $31.84 |
| Connecticut | $53.21 | $31.98 |
| Hawaii | $53.21 | $30.80 |
| Florida | $52.10 | $32.33 |
| Colorado | $51.97 | $31.01 |
| Maryland | $51.95 | $31.40 |
| Rhode Island | $51.54 | $31.18 |
| Oregon | $51.52 | $30.76 |
| New Hampshire | $51.27 | $30.75 |
| Illinois | $51.18 | $32.14 |
| Puerto Rico | $50.69 | $30.77 |
| Virgin Islands | $50.69 | $30.77 |
| Montana | $50.43 | $30.73 |
| Pennsylvania | $50.24 | $30.94 |
| Nevada | $50.18 | $30.46 |
| Delaware | $50.08 | $30.61 |
| Texas | $50.05 | $30.65 |
| Minnesota | $50.00 | $29.72 |
| Wyoming | $50.00 | $30.29 |
| Georgia | $49.63 | $30.84 |
| Michigan | $49.57 | $31.07 |
| Virginia | $49.51 | $30.14 |
| North Dakota | $49.44 | $29.74 |
| Arizona | $49.41 | $30.31 |
| Vermont | $49.36 | $29.85 |
| South Dakota | $49.33 | $29.62 |
| Utah | $48.74 | $30.22 |
| Maine | $48.68 | $29.85 |
| New Mexico | $48.66 | $30.59 |
| Missouri | $48.32 | $30.23 |
| Louisiana | $48.31 | $30.32 |
| South Carolina | $48.26 | $30.05 |
| Ohio | $48.24 | $30.25 |
| Wisconsin | $48.21 | $29.33 |
| North Carolina | $48.13 | $29.75 |
| West Virginia | $47.83 | $30.70 |
| Indiana | $47.72 | $29.46 |
| Idaho | $47.52 | $29.39 |
| Kentucky | $47.48 | $29.96 |
| Nebraska | $47.44 | $29.25 |
| Oklahoma | $47.35 | $29.75 |
| Tennessee | $47.35 | $29.44 |
| Iowa | $47.27 | $29.24 |
| Kansas | $47.17 | $29.36 |
| Alabama | $46.54 | $29.29 |
| Mississippi | $46.47 | $29.50 |
| Arkansas | $46.05 | $29.12 |

## 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
- 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
- 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 99439 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