# CPT 99233: Subsequent hospital inpatient or observation care, high medical decision making

Medicare CPT 99233 pays $106.88 in a non-facility setting and $106.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $101.05 in Arkansas to $145.61 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/99233-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, General Acute Care Hospital, Hematology & Oncology, Infectious Disease, Internal Medicine, Neurological Surgery, Neurology, Ophthalmology, Plastic Surgery, Psychiatry & Neurology, Pulmonary Disease, Thoracic Surgery (Cardiothoracic Vascular Surgery), Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $106.88 |
| National facility | $106.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $145.61 | $145.61 |
| District of Columbia | $115.58 | $115.58 |
| New York | $115.24 | $115.24 |
| New Jersey | $114.12 | $114.12 |
| Florida | $112.64 | $112.64 |
| Illinois | $111.94 | $111.94 |
| Connecticut | $111.34 | $111.34 |
| Washington | $111.04 | $111.04 |
| California | $110.80 | $110.80 |
| Massachusetts | $110.79 | $110.79 |
| Maryland | $109.27 | $109.27 |
| Rhode Island | $108.44 | $108.44 |
| Michigan | $108.07 | $108.07 |
| Colorado | $107.85 | $107.85 |
| Pennsylvania | $107.60 | $107.60 |
| Georgia | $107.23 | $107.23 |
| Hawaii | $107.19 | $107.19 |
| Puerto Rico | $107.02 | $107.02 |
| Virgin Islands | $107.02 | $107.02 |
| New Hampshire | $106.98 | $106.98 |
| Oregon | $106.97 | $106.97 |
| Montana | $106.87 | $106.87 |
| West Virginia | $106.76 | $106.76 |
| Texas | $106.58 | $106.58 |
| Delaware | $106.43 | $106.43 |
| New Mexico | $106.37 | $106.37 |
| Nevada | $105.90 | $105.90 |
| Arizona | $105.38 | $105.38 |
| Louisiana | $105.37 | $105.37 |
| Wyoming | $105.32 | $105.32 |
| Ohio | $105.13 | $105.13 |
| Missouri | $105.08 | $105.08 |
| Utah | $105.03 | $105.03 |
| Virginia | $104.76 | $104.76 |
| South Carolina | $104.41 | $104.41 |
| Kentucky | $104.07 | $104.07 |
| Maine | $103.72 | $103.72 |
| Vermont | $103.71 | $103.71 |
| North Carolina | $103.33 | $103.33 |
| Oklahoma | $103.33 | $103.33 |
| North Dakota | $103.31 | $103.31 |
| Minnesota | $103.25 | $103.25 |
| South Dakota | $102.89 | $102.89 |
| Mississippi | $102.44 | $102.44 |
| Indiana | $102.28 | $102.28 |
| Tennessee | $102.21 | $102.21 |
| Idaho | $102.06 | $102.06 |
| Kansas | $101.91 | $101.91 |
| Wisconsin | $101.85 | $101.85 |
| Alabama | $101.69 | $101.69 |
| Nebraska | $101.55 | $101.55 |
| Iowa | $101.50 | $101.50 |
| Arkansas | $101.05 | $101.05 |

## 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
- 99232: Subsequent hospital inpatient or observation care, moderate medical decision making — https://www.med-reveal.com/rates/99232-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 99233 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