# CPT 99493: Psychiatric collaborative care management, subsequent 60 minutes per month

Medicare CPT 99493 pays $144.96 in a non-facility setting and $89.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $132.57 in Arkansas to $181.76 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99493-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Child & Adolescent Psychiatry, Evaluation, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $144.96 |
| National facility | $89.51 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $181.76 | $122.71 |
| District of Columbia | $161.97 | $96.65 |
| California | $158.44 | $92.83 |
| New York | $158.19 | $96.33 |
| New Jersey | $157.92 | $95.49 |
| Washington | $156.19 | $92.98 |
| Massachusetts | $155.05 | $92.76 |
| Connecticut | $152.84 | $93.13 |
| Hawaii | $152.83 | $89.79 |
| Florida | $149.62 | $94.00 |
| Colorado | $149.35 | $90.36 |
| Maryland | $149.26 | $91.46 |
| Rhode Island | $148.13 | $90.85 |
| Oregon | $148.06 | $89.65 |
| New Hampshire | $147.32 | $89.60 |
| Illinois | $147.04 | $93.46 |
| Puerto Rico | $145.68 | $89.62 |
| Virgin Islands | $145.68 | $89.62 |
| Montana | $144.95 | $89.51 |
| Pennsylvania | $144.43 | $90.12 |
| Nevada | $144.25 | $88.75 |
| Delaware | $143.97 | $89.19 |
| Texas | $143.89 | $89.31 |
| Minnesota | $143.75 | $86.70 |
| Wyoming | $143.74 | $88.30 |
| Georgia | $142.68 | $89.78 |
| Michigan | $142.49 | $90.42 |
| Virginia | $142.36 | $87.86 |
| North Dakota | $142.18 | $86.74 |
| Arizona | $142.06 | $88.33 |
| Vermont | $141.93 | $87.04 |
| South Dakota | $141.85 | $86.41 |
| Utah | $140.17 | $88.06 |
| Maine | $140.02 | $87.04 |
| New Mexico | $139.94 | $89.10 |
| Missouri | $138.97 | $88.09 |
| Louisiana | $138.94 | $88.31 |
| South Carolina | $138.80 | $87.57 |
| Ohio | $138.75 | $88.13 |
| Wisconsin | $138.71 | $85.59 |
| North Carolina | $138.46 | $86.73 |
| West Virginia | $137.57 | $89.39 |
| Indiana | $137.31 | $85.92 |
| Idaho | $136.75 | $85.74 |
| Kentucky | $136.59 | $87.30 |
| Nebraska | $136.52 | $85.35 |
| Tennessee | $136.26 | $85.86 |
| Oklahoma | $136.23 | $86.72 |
| Iowa | $136.04 | $85.30 |
| Kansas | $135.75 | $85.62 |
| Alabama | $133.95 | $85.44 |
| Mississippi | $133.76 | $86.02 |
| Arkansas | $132.57 | $84.94 |

## 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 99493 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