Digital, remote monitoring & care management

99439 - RVUs & Medicare payment (2026)

Chronic care management, clinical staff, each additional 20 minutes.

Component	Non-facility	Facility
Work RVU	0.70	0.70
Practice expense RVU	0.76	0.17
Malpractice RVU	0.05	0.05
Total RVUs	1.51	0.92
National payment (CF $33.4009)	$50.44	$30.73
Qualifying APM payment (CF $33.5675)	$50.69	$30.88

How 99439 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 99439 ranges from $46.05 in Arkansas (AR) to $63.45 in San Jose-Sunnyvale-Santa Clara (CA); calculate 99439 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $63.45 San Jose-Sunnyvale-Santa Clara (CA) $63.22 Alaska (AK) $63.03 San Francisco-Oakland-Berkeley (CA) $62.16 San Francisco-Oakland-Berkeley (CA) $62.10 Napa (CA) $59.16 Vallejo (CA) $59.08 NYC Suburbs/Long Island (NY) $58.16 National average $50.44 … 97 more localities between … Rest Of Missouri (MO) $46.89 Alabama (AL) $46.54 Mississippi (MS) $46.47 Arkansas (AR) $46.05

Non-facility payment for 99439 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: ZZZ

Add-on code: billed with a primary service and covered by the primary service’s global period.

Related codes - digital, remote monitoring & care management

99421 · online digital e/m, 5-10 minutes over 7 days
99422 · online digital e/m, 11-20 minutes over 7 days
99423 · online digital e/m, 21+ minutes over 7 days
98966 · telephone assessment by qualified nonphysician, 5-10 minutes
98967 · telephone assessment by qualified nonphysician, 11-20 minutes
98968 · telephone assessment by qualified nonphysician, 21-30 minutes
99453 · remote physiologic monitoring, setup and patient education
99454 · remote physiologic monitoring, device supply per 30 days
99457 · remote physiologic monitoring management, first 20 minutes/month
99458 · remote physiologic monitoring management, each additional 20 minutes
98975 · remote therapeutic monitoring, setup and patient education
98977 · remote therapeutic monitoring, device supply per 30 days (musculoskeletal)
98980 · remote therapeutic monitoring management, first 20 minutes/month
98981 · remote therapeutic monitoring management, each additional 20 minutes
99490 · chronic care management, clinical staff, first 20 minutes/month
99491 · chronic care management by physician/qhp, first 30 minutes/month
99495 · transitional care management, moderate complexity (14-day contact)
99496 · transitional care management, high complexity (7-day contact)
99484 · general behavioral health integration care management, per month

Frequently asked questions

How much does Medicare pay for 99439 in 2026?

The national non-facility payment is $50.44 and the facility payment is $30.73, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 99439?

The 2026 work RVU for 99439 is 0.70. Total RVUs are 1.51 in the non-facility setting and 0.92 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.