CPT 99226

Detailed Interval History And/Or Detailed Exam With High Medical Decision Making.

CPT 99226 is a billing code that the 2026 Medicare Physician Fee Schedule does not price. Commercial payers may still reimburse it.

Medicare rate by state

Medicare rates for this code are not published in the 2026 physician fee schedule.

Billed by 1 specialties

Commercial rates for 99226

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates