CPT 99487 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

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 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;First 60 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional, Per Calendar Month.

Key Fact	Detail
Service Type	• Evaluation and Management • Care Management Services
Common Place of Service	• 11 - Office • None • 99 - Other POS
Common Modifiers	• None • 25 - Significant, separately identifiable E/M service same day • 95 - Telemedicine - audio and video
Complexity Level	Moderate

National average reimbursement for CPT 99487 by major payers:

$134.84

$110.81

$121.88

$190.20

Preview provider-level rates for...

For billing codeCPT 99487

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99487
United	99487	$298.60	1184630840 - SHAZIA KHAN	752613493 - TEXAS HEALTH PHYSICIANS GROUP	TX	Internal Medicine Physician (207R00000X)
United	99487	$108.87	1821527391 - ARTHUR DAVIS	720839724 - (LA) SOUTH LOUISIANA MEDICAL ASSOCIATES	TX	Cardiovascular Disease Physician (207RC0000X)
United	99487	$152.44	1851327035 - STEVEN COSTA	742958277 - SCOTT & WHITE CLINIC	TX	Cardiovascular Disease Physician (207RC0000X)
United	99487	$228.38	1285121541 - MICHAEL IBARRA	756002868	TX	Neurology Physician (2084N0400X)
United	99487	$97.01	1699935361 - SHABBIR HOSSAIN	853964646 - (TX) VMD PRIMARY PROVIDERS NORTH TEXAS PLLC	TX	Internal Medicine Physician (207R00000X)
United	99487	$65.62	1568410975 - LISA DIX EMPERADOR	475202200 - (TX) MEDCEDE PHYSICIAN SERVICES, PLLC	TX	Cardiovascular Disease Physician (207RC0000X)
United	99487	$87.23	1780784223 - JOHN BRENNER	10372148 - EASTERN MAINE HEALTHCARE SYSTEMS	TX	Internal Medicine Physician (207R00000X)
United	99487	$94.33	1487628293 - MARC MOREAU	300807116 - (TX) NWTX PHYSICIAN NETWORK PLLC	TX	Cardiovascular Disease Physician (207RC0000X)
United	99487	$144.13	1023508082 - MOSTAFA SALEM	752536818 - HEALTHTEXAS PROVIDER NETWORK	TX	Internal Medicine Physician (207R00000X)
United	99487	$119.72	1609192749 - SVETLANA KACHAN-LIU	43111240 - (MA) EMERSON PRACTICE ASSOCIATES INC	MA	Pediatrics Physician (208000000X)
United	99487	$201.08	1831659689 - ANTHONY MELL	42472758 - (MA) CHILD HEALTH FOUNDATION OF BOSTON INC	MA	Pediatrics Physician (208000000X)
United	99487	$98.80	1780684076 - RANDOLPH EVANS	760051165 - RANDOLPH EVANS, M.D.	TX	Neurology Physician (2084N0400X)
United	99487	$176.46	1497987580 - PALLAVI BATWAR	752536818 - HEALTHTEXAS PROVIDER NETWORK	TX	Internal Medicine Physician (207R00000X)
United	99487	$83.50	1932192796 - ANNE JOSEPHS	454077626 - (CT) DAY KIMBALL MEDICAL GROUP INC	MA	Pediatrics Physician (208000000X)
United	99487	$165.80	1518229129 - CHRISTINA BARRITEAU	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	MA	Pediatrics Physician (208000000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 99487 vs. Other Care Management Services Codes

The CPT 99487 code is part of the Evaluation and Management services used for Care Management Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 99487 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
99483	Moderate	Assessment Of And Care Planning For A Patient Withcognitive Impairment Requiring An Independent Historian In The Office Or Other Outpatient Home Or Domiciliary Or Rest Home With All Of The Following Required Elements:Cognition-Focused Evaluation Including A Pertinent History And Examination Medical Decision Making Of Moderate Or High Complexity;Functional Assessment Including Decision-Making Capacity Use Of Standardized Instruments For Staging Typically 60 Mins Of Total (Desc Rvsd 1/1/23)
99484	Low	Care Management Services For Behavioral Health Conditions At Least 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional Per Calendar Month Withthe Following Required Elements: Initial Assessment Or Follow-Up Monitoring Including The Use Of Applicable Validated Rating Scales; Behavioral Health Care Planning In Relation To Behavioral/Psychiatric Health Problems Including Revision For Patients Who Are (Desc Rvsd 1/1/22)
99487	Low	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 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;First 60 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional, Per Calendar Month.
99489	Low	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 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)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99487. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 99487 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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