# CPT 99292: Critical care, each additional 30 minutes (add-on)

Medicare CPT 99292 pays $133.94 in a non-facility setting and $100.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.01 in Arkansas to $171.39 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99292-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Emergency Medicine, Evaluation, General Acute Care Hospital, General Surgery, Hematology & Oncology, Neurological Surgery, Thoracic Surgery (Cardiothoracic Vascular Surgery), Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $133.94 |
| National facility | $100.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $171.39 | $135.46 |
| District of Columbia | $147.96 | $108.22 |
| New York | $146.17 | $108.54 |
| New Jersey | $144.88 | $106.90 |
| California | $142.48 | $102.56 |
| Washington | $141.84 | $103.38 |
| Florida | $141.38 | $107.53 |
| Massachusetts | $141.19 | $103.29 |
| Connecticut | $140.99 | $104.66 |
| Illinois | $139.47 | $106.88 |
| Hawaii | $137.70 | $99.35 |
| Maryland | $137.68 | $102.51 |
| Colorado | $136.43 | $100.53 |
| Rhode Island | $136.22 | $101.37 |
| Oregon | $135.15 | $99.61 |
| New Hampshire | $135.07 | $99.95 |
| Puerto Rico | $134.38 | $100.28 |
| Virgin Islands | $134.38 | $100.28 |
| Pennsylvania | $134.10 | $101.06 |
| Michigan | $133.95 | $102.27 |
| Montana | $133.92 | $100.19 |
| Georgia | $133.20 | $101.03 |
| Texas | $133.01 | $99.80 |
| Delaware | $132.92 | $99.59 |
| Nevada | $132.71 | $98.94 |
| Wyoming | $131.94 | $98.21 |
| Arizona | $131.25 | $98.56 |
| New Mexico | $131.24 | $100.31 |
| Virginia | $130.81 | $97.65 |
| West Virginia | $130.55 | $101.24 |
| Utah | $130.09 | $98.38 |
| Minnesota | $130.01 | $95.30 |
| Louisiana | $129.85 | $99.05 |
| Vermont | $129.63 | $96.23 |
| Missouri | $129.61 | $98.65 |
| Ohio | $129.55 | $98.75 |
| North Dakota | $129.37 | $95.64 |
| South Carolina | $128.90 | $97.73 |
| South Dakota | $128.84 | $95.10 |
| Maine | $128.79 | $96.56 |
| North Carolina | $127.74 | $96.27 |
| Kentucky | $127.61 | $97.62 |
| Oklahoma | $126.76 | $96.63 |
| Wisconsin | $126.48 | $94.16 |
| Indiana | $126.26 | $94.99 |
| Idaho | $125.80 | $94.76 |
| Tennessee | $125.73 | $95.07 |
| Kansas | $125.22 | $94.72 |
| Nebraska | $125.22 | $94.09 |
| Iowa | $124.96 | $94.09 |
| Mississippi | $124.83 | $95.78 |
| Alabama | $124.22 | $94.70 |
| Arkansas | $123.01 | $94.03 |

## Related codes

- 99291: Critical care, evaluation and management of the critically ill or injured patient, first 30-74 minutes — https://www.med-reveal.com/rates/99291-cpt-fee-schedule
- 99468: Neonatal critical care, initial inpatient care, per day, for a critically ill neonate (28 days of age or younger) — https://www.med-reveal.com/rates/99468-cpt-fee-schedule
- 99469: Neonatal critical care, subsequent inpatient care, per day, for a critically ill neonate — https://www.med-reveal.com/rates/99469-cpt-fee-schedule
- 99471: Pediatric critical care, initial inpatient care, per day, for a critically ill infant (29 days through 24 months) — https://www.med-reveal.com/rates/99471-cpt-fee-schedule
- 99472: Pediatric critical care, subsequent inpatient care, per day, for a critically ill infant — https://www.med-reveal.com/rates/99472-cpt-fee-schedule
- 99475: Pediatric critical care, initial inpatient care, per day, for a critically ill patient (2 through 5 years) — https://www.med-reveal.com/rates/99475-cpt-fee-schedule
- 99476: Pediatric critical care, subsequent inpatient care, per day, for a critically ill patient — https://www.med-reveal.com/rates/99476-cpt-fee-schedule
- 99477: Initial hospital care, per day, for a neonate requiring intensive observation, not critically ill — https://www.med-reveal.com/rates/99477-cpt-fee-schedule

Commercial negotiated rates for 99292 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