# CPT 99422: Online digital E/M service, established patient, 11-20 minutes cumulative over 7 days

Medicare CPT 99422 pays $30.73 in a non-facility setting and $22.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $28.29 in Arkansas to $39.30 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99422-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Child & Adolescent Psychiatry, Clinic/Center, Clinical Genetics (M.D.), Endocrinology, Evaluation, Family Medicine, Hematology & Oncology, Infectious Disease, Internal Medicine, Neurology, Ophthalmology, Optometrist, Pain Medicine, Pediatrics, Psychiatry & Neurology, Pulmonary Disease, Rheumatology, Sleep Medicine, Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $30.73 |
| National facility | $22.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $39.30 | $30.41 |
| District of Columbia | $34.04 | $24.20 |
| New York | $33.47 | $24.15 |
| New Jersey | $33.30 | $23.90 |
| California | $33.04 | $23.16 |
| Washington | $32.75 | $23.23 |
| Massachusetts | $32.57 | $23.18 |
| Connecticut | $32.32 | $23.33 |
| Florida | $32.03 | $23.66 |
| Hawaii | $31.91 | $22.41 |
| Maryland | $31.59 | $22.89 |
| Illinois | $31.58 | $23.51 |
| Colorado | $31.45 | $22.56 |
| Rhode Island | $31.32 | $22.69 |
| Oregon | $31.17 | $22.38 |
| New Hampshire | $31.08 | $22.39 |
| Puerto Rico | $30.85 | $22.41 |
| Virgin Islands | $30.85 | $22.41 |
| Montana | $30.73 | $22.38 |
| Pennsylvania | $30.71 | $22.54 |
| Delaware | $30.53 | $22.28 |
| Texas | $30.53 | $22.31 |
| Nevada | $30.52 | $22.16 |
| Michigan | $30.50 | $22.66 |
| Georgia | $30.43 | $22.47 |
| Wyoming | $30.38 | $22.03 |
| Minnesota | $30.16 | $21.56 |
| Arizona | $30.14 | $22.05 |
| Virginia | $30.12 | $21.91 |
| New Mexico | $29.94 | $22.29 |
| North Dakota | $29.94 | $21.58 |
| Vermont | $29.94 | $21.68 |
| South Dakota | $29.84 | $21.49 |
| Utah | $29.83 | $21.98 |
| Louisiana | $29.69 | $22.06 |
| Maine | $29.67 | $21.69 |
| Missouri | $29.66 | $22.00 |
| Ohio | $29.64 | $22.01 |
| West Virginia | $29.64 | $22.39 |
| South Carolina | $29.56 | $21.85 |
| North Carolina | $29.40 | $21.61 |
| Wisconsin | $29.27 | $21.27 |
| Kentucky | $29.21 | $21.78 |
| Indiana | $29.12 | $21.37 |
| Oklahoma | $29.07 | $21.62 |
| Idaho | $29.01 | $21.33 |
| Tennessee | $28.96 | $21.36 |
| Nebraska | $28.92 | $21.21 |
| Kansas | $28.85 | $21.30 |
| Iowa | $28.84 | $21.20 |
| Mississippi | $28.62 | $21.43 |
| Alabama | $28.56 | $21.26 |
| Arkansas | $28.29 | $21.12 |

## Related codes

- 98000: Synchronous audio-video telemedicine E/M service, new patient, straightforward medical decision making — https://www.med-reveal.com/rates/98000-cpt-fee-schedule
- 98001: Synchronous audio-video telemedicine E/M service, new patient, low medical decision making — https://www.med-reveal.com/rates/98001-cpt-fee-schedule
- 98002: Synchronous audio-video telemedicine E/M service, new patient, moderate medical decision making — https://www.med-reveal.com/rates/98002-cpt-fee-schedule
- 98003: Synchronous audio-video telemedicine E/M service, new patient, high medical decision making — https://www.med-reveal.com/rates/98003-cpt-fee-schedule
- 98004: Synchronous audio-video telemedicine E/M service, established patient, straightforward medical decision making — https://www.med-reveal.com/rates/98004-cpt-fee-schedule
- 98005: Synchronous audio-video telemedicine E/M service, established patient, low medical decision making — https://www.med-reveal.com/rates/98005-cpt-fee-schedule
- 98006: Synchronous audio-video telemedicine E/M service, established patient, moderate medical decision making — https://www.med-reveal.com/rates/98006-cpt-fee-schedule
- 98007: Synchronous audio-video telemedicine E/M service, established patient, high medical decision making — https://www.med-reveal.com/rates/98007-cpt-fee-schedule

Commercial negotiated rates for 99422 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