Last updated: October 2026CMS rates · Free lookup

Medicare Fee Schedule Lookup

Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, MS-DRG, or NDC code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights and national rates, anesthesia conversion factors, the Clinical Laboratory Fee Schedule, DMEPOS, ambulance, opioid treatment program, and Part D negotiated price data from CMS.

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99491

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20262025

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Physician Fee Schedule·99491·National·2026, 2025

Current non-facility rate

$89.18▲0.0%

Facility: $65.47

Recent trend

Code description

Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.

Code	Date	State	Non-Facility Fee	Facility Fee	Description
99491	10/2026	N/A	$89.18	$65.47	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	7/2026	N/A	$89.18	$65.47	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	4/2026	N/A	$89.18	$65.47	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	1/2026	N/A	$89.18	$65.47	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	10/2025	N/A	$82.16	$72.46	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	7/2025	N/A	$82.16	$72.46	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	4/2025	N/A	$82.16	$72.46	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.
99491	1/2025	N/A	$82.16	$72.46	Chrnc Care Mgmt Svc 30 Min, Chronic Care Management Services Provided Personally By A Physician Or Other Qualified Health Care Professional At Least 30 Minutes Of Physician Or Other Qualified Health Care Professional Time Per Calendar Month With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk Of Death Acute Exacerbation/Decompensation Or Functional Decline; Comprehensive Care Plan Established Implemented Revised Or Monitored.

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Medicaid comparison

See what state Medicaid programs pay for the same codes

50 state Medicaid agencies publish their own physician fee schedule, and the rate for a single code can differ several times over between them. Rates for 20 common codes, including 99213, 99214, 99203 are free in every state that prices them, with no login.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.

Open the Medicaid lookup

$144.29

99489Cplx Chrnc Care Ea Addl 30, Complex Chronic Care Management Services With The Following Required Elements Multiple Two Or More Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient Chronic Conditions That Place The Patient At Significant Risk Of Death Acute Exacerbation Decompensation Or Functional Decline Comprehensive Care Plan Established Implemented Revised Or Monitored Moderate Or High Complexity Medical Decision Making Each Additional 30 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional Per Calendar Month List Separately In Addition To Code For Primary Procedure

$78.16

99490Chrnc Care Mgmt Staff 1st 20, Chronic Care Management Services With The Following Required Elements Multiple Two Or More Chronic Conditions Expected To Last At Least 12 Months Or Until The Death Of The Patient Chronic Conditions That Place The Patient At Significant Risk Of Death Acute Exacerbation Decompensation Or Functional Decline Comprehensive Care Plan Established Implemented Revised Or Monitored First 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional Per Calendar Month

$66.13

Methodology

Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.

View CMS Physician Fee Schedule