---
title: "2026 Chronic Care Management Reimbursement Rates: CPT Code Pricing for Medicare CCM"
description: Updated 2026 national average Medicare reimbursement rates for all CCM CPT codes including 99490, 99491, 99439, 99437, 99487, 99489, and G0506.
---

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# [2026 Chronic Care Management Reimbursement Rates: CPT Code Pricing for Medicare CCM](https://www.advantabiometrics.com/connected-care-central/2026-chronic-care-management-reimbursement-rates-cpt-code-pricing-for-medicare-ccm)

 Written by [Advanta](https://www.advantabiometrics.com/connected-care-central/author/advanta) | Apr 21, 2026 2:32:46 PM

The following are approximate national average non-facility reimbursement rates for CCM services effective January 1, 2026, under the CY 2026 Medicare Physician Fee Schedule. Actual reimbursement varies by geographic location based on GPCI adjustments.

 

Non-Complex CCM (Clinical Staff Time):

CPT Code | Description | 2026 National Average 

| 99490 | First 20 minutes of clinical staff time per calendar month | ~$66 |  
| 99439 | Each additional 20 minutes of clinical staff time (max 2 units per month with 99490) | ~$50 |

 

 

Non-Complex CCM (Physician/QHP Time):

CPT Code | Description | 2026 National Average 

| 99491 | First 30 minutes of physician/QHP time per calendar month | ~$89 |  
| 99437 | Each additional 30 minutes of physician/QHP time | ~$63 |

 

Complex CCM:

CPT Code | Description | 2026 National Average 

| 99487 | First 60 minutes of clinical staff time, complex CCM | ~$144 |  
| 99489 | Each additional 30 minutes of clinical staff time, complex CCM (add-on to 99487) | ~$78 |

 

Care Plan Oversight:

HCPCS Code | Description | 2026 National Average 

| G0506 | Comprehensive assessment and care planning (one-time per patient per provider) | Billed separately; see PFS lookup |

The CY 2026 PFS includes two separate conversion factors for the first time: $33.5675 for qualifying APM participants and $33.4009 for non-qualifying APM participants. Both represent increases from the CY 2025 conversion factor of $32.3465. The increase includes a temporary 2.5% statutory increase provided under the One Big Beautiful Bill Act, small permanent MACRA-required updates, and a positive budget-neutrality adjustment of +0.49%.

Care management codes are time-based and were exempt from the 2.5% efficiency adjustment applied to non-time-based services in CY 2026.

 

 

 

 

Sources:

CMS CY 2026 PFS Final Rule (CMS-1832-F);

CMS PFS Relative Value Files.

 

 

 

 

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