# CPT 99494: Psychiatric collaborative care management, each additional 30 minutes per month (add-on)

Medicare CPT 99494 pays $61.46 in a non-facility setting and $36.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.96 in Arkansas to $76.34 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/99494-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Child & Adolescent Psychiatry, Evaluation, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $61.46 |
| National facility | $36.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $76.34 | $49.30 |
| District of Columbia | $68.87 | $38.97 |
| California | $67.40 | $37.36 |
| New York | $67.18 | $38.86 |
| New Jersey | $67.08 | $38.49 |
| Washington | $66.38 | $37.45 |
| Massachusetts | $65.88 | $37.37 |
| Hawaii | $65.01 | $36.14 |
| Connecticut | $64.90 | $37.56 |
| Florida | $63.46 | $37.99 |
| Colorado | $63.40 | $36.39 |
| Maryland | $63.33 | $36.86 |
| Oregon | $62.83 | $36.10 |
| Rhode Island | $62.82 | $36.60 |
| New Hampshire | $62.52 | $36.10 |
| Illinois | $62.30 | $37.77 |
| Puerto Rico | $61.78 | $36.12 |
| Virgin Islands | $61.78 | $36.12 |
| Montana | $61.45 | $36.07 |
| Pennsylvania | $61.19 | $36.32 |
| Nevada | $61.16 | $35.74 |
| Delaware | $61.01 | $35.93 |
| Minnesota | $60.98 | $34.86 |
| Texas | $60.97 | $35.98 |
| Wyoming | $60.94 | $35.55 |
| Georgia | $60.42 | $36.20 |
| Michigan | $60.32 | $36.48 |
| Virginia | $60.32 | $35.37 |
| North Dakota | $60.27 | $34.88 |
| Arizona | $60.18 | $35.58 |
| Vermont | $60.15 | $35.02 |
| South Dakota | $60.13 | $34.74 |
| Utah | $59.33 | $35.47 |
| Maine | $59.28 | $35.03 |
| New Mexico | $59.20 | $35.92 |
| Missouri | $58.79 | $35.49 |
| Louisiana | $58.77 | $35.59 |
| South Carolina | $58.72 | $35.26 |
| Wisconsin | $58.72 | $34.41 |
| Ohio | $58.68 | $35.51 |
| North Carolina | $58.59 | $34.90 |
| West Virginia | $58.12 | $36.06 |
| Indiana | $58.09 | $34.56 |
| Idaho | $57.84 | $34.48 |
| Nebraska | $57.74 | $34.31 |
| Kentucky | $57.73 | $35.16 |
| Tennessee | $57.61 | $34.54 |
| Oklahoma | $57.58 | $34.91 |
| Iowa | $57.52 | $34.30 |
| Kansas | $57.39 | $34.44 |
| Alabama | $56.58 | $34.37 |
| Mississippi | $56.48 | $34.62 |
| Arkansas | $55.96 | $34.16 |

## 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 99494 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