# CPT 99232: Subsequent hospital inpatient or observation care, moderate medical decision making

Medicare CPT 99232 pays $70.48 in a non-facility setting and $70.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $66.65 in Arkansas to $96.10 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/99232-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, General Acute Care Hospital, General Surgery, Hematology & Oncology, Infectious Disease, Internal Medicine, Neurological Surgery, Neurology, Ophthalmology, Orthopaedic Surgery, Plastic Surgery, Psychiatry & Neurology, Pulmonary Disease, Thoracic Surgery (Cardiothoracic Vascular Surgery), Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $70.48 |
| National facility | $70.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $96.10 | $96.10 |
| District of Columbia | $76.17 | $76.17 |
| New York | $75.98 | $75.98 |
| New Jersey | $75.22 | $75.22 |
| Florida | $74.31 | $74.31 |
| Illinois | $73.86 | $73.86 |
| Connecticut | $73.41 | $73.41 |
| Washington | $73.18 | $73.18 |
| Massachusetts | $73.01 | $73.01 |
| California | $72.99 | $72.99 |
| Maryland | $72.05 | $72.05 |
| Rhode Island | $71.49 | $71.49 |
| Michigan | $71.30 | $71.30 |
| Colorado | $71.09 | $71.09 |
| Pennsylvania | $70.96 | $70.96 |
| Georgia | $70.72 | $70.72 |
| Hawaii | $70.62 | $70.62 |
| Puerto Rico | $70.56 | $70.56 |
| Virgin Islands | $70.56 | $70.56 |
| New Hampshire | $70.52 | $70.52 |
| Oregon | $70.51 | $70.51 |
| Montana | $70.47 | $70.47 |
| West Virginia | $70.45 | $70.45 |
| Texas | $70.28 | $70.28 |
| Delaware | $70.18 | $70.18 |
| New Mexico | $70.17 | $70.17 |
| Nevada | $69.82 | $69.82 |
| Louisiana | $69.50 | $69.50 |
| Arizona | $69.48 | $69.48 |
| Wyoming | $69.43 | $69.43 |
| Ohio | $69.35 | $69.35 |
| Missouri | $69.31 | $69.31 |
| Utah | $69.27 | $69.27 |
| Virginia | $69.07 | $69.07 |
| South Carolina | $68.86 | $68.86 |
| Kentucky | $68.65 | $68.65 |
| Maine | $68.38 | $68.38 |
| Vermont | $68.36 | $68.36 |
| Oklahoma | $68.15 | $68.15 |
| North Carolina | $68.13 | $68.13 |
| North Dakota | $68.10 | $68.10 |
| Minnesota | $68.04 | $68.04 |
| South Dakota | $67.81 | $67.81 |
| Mississippi | $67.57 | $67.57 |
| Indiana | $67.44 | $67.44 |
| Tennessee | $67.40 | $67.40 |
| Idaho | $67.29 | $67.29 |
| Kansas | $67.21 | $67.21 |
| Wisconsin | $67.14 | $67.14 |
| Alabama | $67.07 | $67.07 |
| Nebraska | $66.95 | $66.95 |
| Iowa | $66.92 | $66.92 |
| Arkansas | $66.65 | $66.65 |

## 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
- 99222: Initial hospital inpatient or observation care, moderate medical decision making — https://www.med-reveal.com/rates/99222-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
- 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 99232 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