99439
Care Mgmt / CounselCMS status: AEach additional 20 minutes of CCM clinical staff time per calendar month, maximum 2 units.
Work RVU
0.70
Practice RVU
0.76
Malpractice RVU
0.05
Total RVU
1.51
2026 Medicare payment
$50.44
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99439 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Add-on to 99490 for each additional 20 minutes of clinical staff time, max 2 units (40 additional minutes).
Documentation checklist
- ✓Each additional 20-minute increment logged.
- ✓Maximum total billable = 99490 + 2x 99439 = 60 minutes.
Common pitfalls
- !Billing more than 2 units of 99439 in a month.
- !Stacking with complex CCM (99487/99489) — those are mutually exclusive.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.