# CPT 99222: Initial hospital inpatient or observation care, moderate medical decision making

Medicare CPT 99222 pays $116.90 in a non-facility setting and $116.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $110.02 in Arkansas to $158.33 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/99222-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, General Acute Care Hospital, Hematology & Oncology, Infectious Disease, Internal Medicine, Neurological Surgery, Neurology, Plastic Surgery, Psychiatry & Neurology, Pulmonary Disease, Thoracic Surgery (Cardiothoracic Vascular Surgery), Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $116.90 |
| National facility | $116.90 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $158.33 | $158.33 |
| District of Columbia | $126.44 | $126.44 |
| New York | $126.37 | $126.37 |
| New Jersey | $124.83 | $124.83 |
| Florida | $124.25 | $124.25 |
| Illinois | $123.45 | $123.45 |
| Connecticut | $121.98 | $121.98 |
| Washington | $121.15 | $121.15 |
| Massachusetts | $120.94 | $120.94 |
| California | $120.60 | $120.60 |
| Maryland | $119.58 | $119.58 |
| Michigan | $118.67 | $118.67 |
| Rhode Island | $118.46 | $118.46 |
| Pennsylvania | $117.76 | $117.76 |
| Colorado | $117.70 | $117.70 |
| Georgia | $117.51 | $117.51 |
| West Virginia | $117.28 | $117.28 |
| Puerto Rico | $117.03 | $117.03 |
| Virgin Islands | $117.03 | $117.03 |
| Montana | $116.89 | $116.89 |
| New Hampshire | $116.86 | $116.86 |
| Hawaii | $116.73 | $116.73 |
| Oregon | $116.67 | $116.67 |
| New Mexico | $116.59 | $116.59 |
| Texas | $116.49 | $116.49 |
| Delaware | $116.29 | $116.29 |
| Nevada | $115.64 | $115.64 |
| Louisiana | $115.32 | $115.32 |
| Arizona | $115.10 | $115.10 |
| Ohio | $115.02 | $115.02 |
| Missouri | $114.94 | $114.94 |
| Wyoming | $114.91 | $114.91 |
| Utah | $114.78 | $114.78 |
| Virginia | $114.26 | $114.26 |
| South Carolina | $114.05 | $114.05 |
| Kentucky | $113.77 | $113.77 |
| Maine | $113.04 | $113.04 |
| Vermont | $112.88 | $112.88 |
| Oklahoma | $112.80 | $112.80 |
| North Carolina | $112.63 | $112.63 |
| North Dakota | $112.34 | $112.34 |
| Minnesota | $112.14 | $112.14 |
| South Dakota | $111.80 | $111.80 |
| Mississippi | $111.79 | $111.79 |
| Indiana | $111.32 | $111.32 |
| Tennessee | $111.31 | $111.31 |
| Idaho | $111.06 | $111.06 |
| Kansas | $110.94 | $110.94 |
| Alabama | $110.77 | $110.77 |
| Wisconsin | $110.65 | $110.65 |
| Nebraska | $110.40 | $110.40 |
| Iowa | $110.37 | $110.37 |
| Arkansas | $110.02 | $110.02 |

## Related codes

- 99221: Initial hospital inpatient or observation care, straightforward to low medical decision making — https://www.med-reveal.com/rates/99221-cpt-fee-schedule
- 99223: Initial hospital inpatient or observation care, high medical decision making — https://www.med-reveal.com/rates/99223-cpt-fee-schedule
- 99231: Subsequent hospital inpatient or observation care, straightforward to low medical decision making — https://www.med-reveal.com/rates/99231-cpt-fee-schedule
- 99232: Subsequent hospital inpatient or observation care, moderate medical decision making — https://www.med-reveal.com/rates/99232-cpt-fee-schedule
- 99233: Subsequent hospital inpatient or observation care, high medical decision making — https://www.med-reveal.com/rates/99233-cpt-fee-schedule
- 99238: Hospital inpatient or observation discharge day management, 30 minutes or less — https://www.med-reveal.com/rates/99238-cpt-fee-schedule
- 99239: Hospital inpatient or observation discharge day management, more than 30 minutes — https://www.med-reveal.com/rates/99239-cpt-fee-schedule

Commercial negotiated rates for 99222 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules