99437
Chrnc care mgmt phys ea addl
Chronic care management, each additional 30 minutes of physician or QHP personal time per calendar month. paid using the national GPCI and the 2026 conversion factor of $33.4009. Add-on to 99491; it can never be billed alone or with the staff-time codes.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Billing guidance for 99437 is locked
- When to use it: the exact clinical situations that support billing 99437
- Documentation checklist: the 5 elements your note needs before submitting
- Common pitfalls: the 5 mistakes that get 99437 downcoded or denied
Payer notes
Medicare and Medicare Advantage cover 99437 with standard cost share; disclose it in the annual CCM consent. Commercial coverage is limited, as with the rest of the CCM family. At wRVU 1.00 per 30-minute unit, a fully documented 90-minute clinician-personal month (99491 + 2 x 99437) carries 3.45 wRVU, more than a level 5 established visit (2.80), which is the economic argument for logging personal care management time instead of absorbing it.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99437 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.