Care Management & Integration

99489 CPT

Complex chronic care management; each additional 30 minutes

System

CPT code

Timing

Time-based — 30-min units

Add-on

Yes — needs a primary code

CPT 99489 is the add-on to 99487, reporting each additional 30 minutes of complex chronic care management beyond the first 60 minutes per month.

When to use 99489

Add 99489 when complex care management (99487) exceeds 60 minutes in a month.

How to bill it

Report one unit per additional 30 minutes alongside 99487 in the same month.

Common pitfalls

Billing 99489 without 99487.
Applying it to routine (non-complex) CCM.

Frequently asked questions

Can 99489 be billed alone?

No. It is an add-on that must accompany 99487 for complex care management.

How much time does each 99489 unit cover?

Each unit covers an additional 30 minutes of complex care management beyond the first 60 minutes.

Related Care Management & Integration codes

99490 CPT

Chronic care management services; at least 20 minutes per month

View code

99487 CPT

Complex chronic care management; first 60 minutes per month

View code

G0511 HCPCS

Chronic care management and/or behavioral health integration; at least 20 minutes per month

View code

99491 CPT

Chronic care management, personally provided by physician/QHP; at least 30 minutes per month

View code

99492 CPT

Initial psychiatric collaborative care management; first 70 minutes

View code

99493 CPT

Subsequent psychiatric collaborative care management; first 60 minutes

View code

99494 CPT

Psychiatric collaborative care management; each additional 30 minutes (add-on)

View code

Pair this code with a billing tool

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ICD-10 Code Lookup

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