CPT 99437: CCM add-on by physician
An add-on reported with 99491 for each additional 30 minutes the practitioner personally spends on care management that month.
CPT 99437 at a glance
- Time threshold
- Each additional 30 minutes of practitioner time
- Who performs it
- The physician or other qualified practitioner personally
- How often
- Add-on to 99491 only
- Approx. 2026 national rate
- ~$59
What the record needs to show
- 99491 supported for the same patient and month
- Practitioner time log showing minutes beyond the first 30
- Consent and care plan documentation in place
Common billing mistakes
- Reporting 99437 with 99490 or 99487
- Adding staff minutes to the practitioner's total
Where Zenith fits
Your practice stays the billing provider for CPT 99437. Zenith supplies trained clinical staff who do the work inside your EHR and invoice your practice for the labor. Zenith does not bill Medicare. See Chronic Care Management for how the program runs.
Educational summary, not billing or legal advice. Rates are 2026 Medicare national averages and vary by locality and payer. Confirm current rules in the CMS Physician Fee Schedule and with your Medicare Administrative Contractor.