Part of Chronic Care Management
CPT 99437: Non-complex CCM, each additional 30 minutes of physician/QHP time
Add-on code for each additional 30 minutes of non-complex CCM physician/QHP time beyond the 99491 threshold.
Time threshold & code combinations
Each additional 30 minutes of physician/QHP time, beyond 99491, per calendar month.
- Cannot be billed without 99491 in the same calendar month
Who can bill
- Physicians
- Qualified health professionals
Eligibility & billing requirements
- Same eligibility as 99491
- 99491 must be billed first for the same month
- Only reported after the first 30-minute threshold (99491) has been met
When to use it
Extended physician review
After the first 30 minutes, the physician spends another 30 minutes coordinating with a cardiologist and updating the care plan.
Billing: 99491 + 99437
Documentation checklist
- Time log showing the additional 30-minute increment
- Confirmation that 99491 was met first in the same month
Common billing mistakes
- Billing 99437 without a qualifying 99491 in the same month