# CPT 99402: Preventive medicine counseling, individual, approximately 30 minutes

Medicare CPT 99402 pays $64.80 in a non-facility setting and $42.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $59.59 in Arkansas to $82.22 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99402-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $64.80 |
| National facility | $42.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $82.22 | $58.03 |
| District of Columbia | $72.14 | $45.39 |
| California | $70.56 | $43.69 |
| New York | $70.55 | $45.21 |
| New Jersey | $70.44 | $44.86 |
| Washington | $69.62 | $43.72 |
| Massachusetts | $69.13 | $43.61 |
| Connecticut | $68.19 | $43.73 |
| Hawaii | $68.07 | $42.25 |
| Florida | $66.79 | $44.01 |
| Colorado | $66.68 | $42.51 |
| Maryland | $66.66 | $42.98 |
| Rhode Island | $66.20 | $42.73 |
| Oregon | $66.12 | $42.19 |
| New Hampshire | $65.78 | $42.14 |
| Illinois | $65.72 | $43.78 |
| Puerto Rico | $65.10 | $42.14 |
| Virgin Islands | $65.10 | $42.14 |
| Montana | $64.79 | $42.08 |
| Pennsylvania | $64.62 | $42.36 |
| Nevada | $64.49 | $41.76 |
| Delaware | $64.40 | $41.96 |
| Texas | $64.37 | $42.01 |
| Wyoming | $64.28 | $41.56 |
| Minnesota | $64.26 | $40.89 |
| Georgia | $63.86 | $42.19 |
| Michigan | $63.78 | $42.45 |
| Virginia | $63.70 | $41.37 |
| North Dakota | $63.61 | $40.89 |
| Arizona | $63.58 | $41.57 |
| Vermont | $63.51 | $41.02 |
| South Dakota | $63.47 | $40.75 |
| Utah | $62.79 | $41.44 |
| Maine | $62.72 | $41.01 |
| New Mexico | $62.71 | $41.88 |
| Missouri | $62.29 | $41.45 |
| Louisiana | $62.28 | $41.54 |
| South Carolina | $62.21 | $41.23 |
| Ohio | $62.20 | $41.46 |
| Wisconsin | $62.15 | $40.39 |
| North Carolina | $62.06 | $40.87 |
| West Virginia | $61.72 | $41.99 |
| Indiana | $61.57 | $40.52 |
| Idaho | $61.34 | $40.44 |
| Kentucky | $61.29 | $41.10 |
| Nebraska | $61.24 | $40.27 |
| Oklahoma | $61.13 | $40.85 |
| Tennessee | $61.13 | $40.49 |
| Iowa | $61.03 | $40.25 |
| Kansas | $60.92 | $40.39 |
| Alabama | $60.17 | $40.30 |
| Mississippi | $60.10 | $40.54 |
| Arkansas | $59.59 | $40.08 |

## Related codes

- 99401: Preventive medicine counseling, individual, approximately 15 minutes — https://www.med-reveal.com/rates/99401-cpt-fee-schedule
- 99403: Preventive medicine counseling, individual, approximately 45 minutes — https://www.med-reveal.com/rates/99403-cpt-fee-schedule
- 99404: Preventive medicine counseling, individual, approximately 60 minutes — https://www.med-reveal.com/rates/99404-cpt-fee-schedule
- 99406: Smoking and tobacco use cessation counseling, 3-10 minutes — https://www.med-reveal.com/rates/99406-cpt-fee-schedule
- 99407: Smoking and tobacco use cessation counseling, greater than 10 minutes — https://www.med-reveal.com/rates/99407-cpt-fee-schedule
- 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes — https://www.med-reveal.com/rates/99408-cpt-fee-schedule
- 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes — https://www.med-reveal.com/rates/99409-cpt-fee-schedule
- 99411: Preventive medicine counseling, group, approximately 30 minutes — https://www.med-reveal.com/rates/99411-cpt-fee-schedule

Commercial negotiated rates for 99402 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