# CPT 99490: Chronic care management services, non-complex, first 20 minutes per month

Medicare CPT 99490 pays $66.13 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 $60.71 in Arkansas to $83.76 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99490-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 | $66.13 |
| National facility | $43.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $83.76 | $59.93 |
| District of Columbia | $73.61 | $47.25 |
| New York | $72.07 | $47.11 |
| New Jersey | $71.88 | $46.68 |
| California | $71.83 | $45.35 |
| Washington | $70.95 | $45.44 |
| Massachusetts | $70.47 | $45.33 |
| Connecticut | $69.63 | $45.53 |
| Hawaii | $69.31 | $43.87 |
| Florida | $68.45 | $46.00 |
| Maryland | $68.04 | $44.71 |
| Colorado | $67.97 | $44.16 |
| Rhode Island | $67.52 | $44.40 |
| Oregon | $67.38 | $43.81 |
| Illinois | $67.36 | $45.73 |
| New Hampshire | $67.09 | $43.79 |
| Puerto Rico | $66.43 | $43.81 |
| Virgin Islands | $66.43 | $43.81 |
| Montana | $66.13 | $43.75 |
| Pennsylvania | $65.97 | $44.06 |
| Nevada | $65.77 | $43.37 |
| Delaware | $65.70 | $43.59 |
| Texas | $65.68 | $43.65 |
| Wyoming | $65.53 | $43.15 |
| Minnesota | $65.37 | $42.34 |
| Georgia | $65.25 | $43.90 |
| Michigan | $65.23 | $44.22 |
| Virginia | $64.93 | $42.93 |
| Arizona | $64.85 | $43.17 |
| North Dakota | $64.74 | $42.37 |
| Vermont | $64.67 | $42.52 |
| South Dakota | $64.58 | $42.20 |
| New Mexico | $64.08 | $43.56 |
| Utah | $64.07 | $43.04 |
| Maine | $63.91 | $42.53 |
| Louisiana | $63.60 | $43.17 |
| Missouri | $63.60 | $43.06 |
| Ohio | $63.51 | $43.08 |
| South Carolina | $63.47 | $42.80 |
| North Carolina | $63.25 | $42.37 |
| Wisconsin | $63.24 | $41.80 |
| West Virginia | $63.16 | $43.71 |
| Indiana | $62.71 | $41.97 |
| Kentucky | $62.56 | $42.67 |
| Idaho | $62.47 | $41.88 |
| Oklahoma | $62.36 | $42.38 |
| Nebraska | $62.34 | $41.68 |
| Tennessee | $62.29 | $41.94 |
| Iowa | $62.14 | $41.66 |
| Kansas | $62.06 | $41.83 |
| Alabama | $61.32 | $41.74 |
| Mississippi | $61.30 | $42.03 |
| Arkansas | $60.71 | $41.49 |

## 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
- 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

Commercial negotiated rates for 99490 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