# CPT 99239: Hospital inpatient or observation discharge day management, more than 30 minutes

Medicare CPT 99239 pays $106.55 in a non-facility setting and $106.55 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $99.81 in Arkansas to $141.97 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/99239-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, General Acute Care Hospital, Hematology & Oncology, Infectious Disease, Internal Medicine, Neurology, Ophthalmology, Plastic Surgery, Psychiatry & Neurology, Pulmonary Disease, Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $106.55 |
| National facility | $106.55 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $141.97 | $141.97 |
| District of Columbia | $116.26 | $116.26 |
| New York | $115.27 | $115.27 |
| New Jersey | $114.39 | $114.39 |
| California | $112.06 | $112.06 |
| Washington | $111.80 | $111.80 |
| Florida | $111.71 | $111.71 |
| Massachusetts | $111.39 | $111.39 |
| Connecticut | $111.37 | $111.37 |
| Illinois | $110.68 | $110.68 |
| Maryland | $109.15 | $109.15 |
| Hawaii | $108.33 | $108.33 |
| Rhode Island | $108.31 | $108.31 |
| Colorado | $108.12 | $108.12 |
| Oregon | $107.22 | $107.22 |
| New Hampshire | $107.09 | $107.09 |
| Pennsylvania | $106.96 | $106.96 |
| Michigan | $106.94 | $106.94 |
| Puerto Rico | $106.79 | $106.79 |
| Virgin Islands | $106.79 | $106.79 |
| Montana | $106.54 | $106.54 |
| Georgia | $106.36 | $106.36 |
| Texas | $106.11 | $106.11 |
| Delaware | $106.02 | $106.02 |
| Nevada | $105.69 | $105.69 |
| New Mexico | $105.18 | $105.18 |
| Wyoming | $105.16 | $105.16 |
| West Virginia | $105.00 | $105.00 |
| Arizona | $104.87 | $104.87 |
| Virginia | $104.48 | $104.48 |
| Louisiana | $104.24 | $104.24 |
| Utah | $104.24 | $104.24 |
| Missouri | $104.04 | $104.04 |
| Ohio | $104.03 | $104.03 |
| Minnesota | $103.64 | $103.64 |
| Vermont | $103.61 | $103.61 |
| South Carolina | $103.51 | $103.51 |
| North Dakota | $103.37 | $103.37 |
| Maine | $103.25 | $103.25 |
| South Dakota | $103.00 | $103.00 |
| Kentucky | $102.83 | $102.83 |
| North Carolina | $102.65 | $102.65 |
| Oklahoma | $102.21 | $102.21 |
| Indiana | $101.66 | $101.66 |
| Wisconsin | $101.62 | $101.62 |
| Tennessee | $101.40 | $101.40 |
| Idaho | $101.38 | $101.38 |
| Kansas | $101.08 | $101.08 |
| Mississippi | $101.07 | $101.07 |
| Nebraska | $100.96 | $100.96 |
| Iowa | $100.83 | $100.83 |
| Alabama | $100.56 | $100.56 |
| Arkansas | $99.81 | $99.81 |

## 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
- 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

Commercial negotiated rates for 99239 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