# CPT 99487: Complex chronic care management services, first 60 minutes per month

Medicare CPT 99487 pays $144.29 in a non-facility setting and $79.16 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $130.98 in Arkansas to $177.74 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/99487-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Endocrinology, Evaluation, Family Medicine, Hematology & Oncology, Infectious Disease, Internal Medicine, Rheumatology, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $144.29 |
| National facility | $79.16 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $177.74 | $108.37 |
| District of Columbia | $162.20 | $85.47 |
| California | $159.04 | $81.97 |
| New York | $157.91 | $85.25 |
| New Jersey | $157.78 | $84.44 |
| Washington | $156.41 | $82.16 |
| Massachusetts | $155.15 | $81.98 |
| Hawaii | $153.35 | $79.30 |
| Connecticut | $152.53 | $82.39 |
| Colorado | $149.15 | $79.85 |
| Maryland | $148.79 | $80.89 |
| Florida | $148.67 | $83.32 |
| Oregon | $147.82 | $79.21 |
| Rhode Island | $147.59 | $80.31 |
| New Hampshire | $147.01 | $79.21 |
| Illinois | $145.78 | $82.84 |
| Puerto Rico | $145.10 | $79.25 |
| Virgin Islands | $145.10 | $79.25 |
| Montana | $144.28 | $79.15 |
| Nevada | $143.65 | $78.45 |
| Minnesota | $143.54 | $76.52 |
| Pennsylvania | $143.51 | $79.71 |
| Delaware | $143.20 | $78.85 |
| Wyoming | $143.16 | $78.03 |
| Texas | $143.08 | $78.96 |
| North Dakota | $141.71 | $76.58 |
| Virginia | $141.66 | $77.64 |
| Georgia | $141.58 | $79.44 |
| South Dakota | $141.41 | $76.28 |
| Vermont | $141.35 | $76.87 |
| Michigan | $141.22 | $80.06 |
| Arizona | $141.20 | $78.09 |
| Maine | $139.13 | $76.90 |
| Utah | $139.08 | $77.86 |
| New Mexico | $138.57 | $78.84 |
| Wisconsin | $137.95 | $75.55 |
| Missouri | $137.68 | $77.91 |
| South Carolina | $137.60 | $77.42 |
| Louisiana | $137.58 | $78.12 |
| Ohio | $137.41 | $77.95 |
| North Carolina | $137.40 | $76.63 |
| Indiana | $136.26 | $75.88 |
| West Virginia | $135.75 | $79.15 |
| Idaho | $135.64 | $75.72 |
| Nebraska | $135.47 | $75.35 |
| Kentucky | $135.10 | $77.20 |
| Tennessee | $135.05 | $75.84 |
| Iowa | $134.92 | $75.32 |
| Oklahoma | $134.82 | $76.66 |
| Kansas | $134.51 | $75.63 |
| Alabama | $132.47 | $75.48 |
| Mississippi | $132.11 | $76.03 |
| Arkansas | $130.98 | $75.03 |

## 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
- 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
- 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 99487 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