# CPT 99244: Office or outpatient consultation, moderate medical decision making

Medicare CPT 99244 pays $160.99 in a non-facility setting and $133.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $149.01 in Arkansas to $207.62 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99244-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinical Genetics (M.D.), Evaluation, Infectious Disease, Optometrist, Pulmonary Disease, Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $160.99 |
| National facility | $133.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $207.62 | $178.45 |
| District of Columbia | $178.14 | $145.87 |
| New York | $174.86 | $144.31 |
| New Jersey | $174.33 | $143.50 |
| California | $173.61 | $141.20 |
| Washington | $171.79 | $140.57 |
| Massachusetts | $170.75 | $139.98 |
| Connecticut | $169.02 | $139.52 |
| Hawaii | $167.57 | $136.43 |
| Florida | $166.59 | $139.11 |
| Maryland | $165.38 | $136.83 |
| Colorado | $165.02 | $135.88 |
| Illinois | $164.27 | $137.81 |
| Rhode Island | $164.25 | $135.95 |
| Oregon | $163.64 | $134.79 |
| New Hampshire | $162.97 | $134.45 |
| Puerto Rico | $161.63 | $133.94 |
| Virgin Islands | $161.63 | $133.94 |
| Montana | $160.98 | $133.59 |
| Pennsylvania | $160.85 | $134.02 |
| Nevada | $160.11 | $132.69 |
| Delaware | $160.08 | $133.02 |
| Texas | $160.07 | $133.10 |
| Wyoming | $159.52 | $132.13 |
| Michigan | $159.32 | $133.60 |
| Georgia | $159.23 | $133.10 |
| Minnesota | $158.89 | $130.71 |
| Virginia | $158.21 | $131.29 |
| Arizona | $158.15 | $131.61 |
| North Dakota | $157.62 | $130.23 |
| Vermont | $157.53 | $130.42 |
| South Dakota | $157.22 | $129.83 |
| New Mexico | $156.70 | $131.58 |
| Utah | $156.49 | $130.74 |
| Maine | $155.96 | $129.79 |
| Louisiana | $155.57 | $130.56 |
| Missouri | $155.51 | $130.38 |
| Ohio | $155.34 | $130.34 |
| South Carolina | $155.17 | $129.86 |
| West Virginia | $154.86 | $131.06 |
| North Carolina | $154.56 | $129.00 |
| Wisconsin | $154.31 | $128.08 |
| Indiana | $153.29 | $127.91 |
| Kentucky | $153.24 | $128.89 |
| Idaho | $152.76 | $127.57 |
| Oklahoma | $152.72 | $128.26 |
| Nebraska | $152.42 | $127.14 |
| Tennessee | $152.41 | $127.51 |
| Iowa | $152.00 | $126.94 |
| Kansas | $151.89 | $127.13 |
| Mississippi | $150.41 | $126.83 |
| Alabama | $150.34 | $126.38 |
| Arkansas | $149.01 | $125.48 |

## Related codes

- 99242: Office or outpatient consultation, low medical decision making — https://www.med-reveal.com/rates/99242-cpt-fee-schedule
- 99243: Office or outpatient consultation, moderate medical decision making (lower) — https://www.med-reveal.com/rates/99243-cpt-fee-schedule
- 99245: Office or outpatient consultation, high medical decision making — https://www.med-reveal.com/rates/99245-cpt-fee-schedule
- 99252: Inpatient or observation consultation, straightforward to low medical decision making — https://www.med-reveal.com/rates/99252-cpt-fee-schedule
- 99253: Inpatient or observation consultation, low medical decision making — https://www.med-reveal.com/rates/99253-cpt-fee-schedule
- 99254: Inpatient or observation consultation, moderate medical decision making — https://www.med-reveal.com/rates/99254-cpt-fee-schedule
- 99255: Inpatient or observation consultation, high medical decision making — https://www.med-reveal.com/rates/99255-cpt-fee-schedule

Commercial negotiated rates for 99244 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