# CPT 99446: Ntrprof Phone/ntrnet/ehr Assmt&mgmt 5-10 Min

Medicare CPT 99446 pays $19.04 in a non-facility setting and $16.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $17.54 in Arkansas to $24.67 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99446-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $19.04 |
| National facility | $16.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $24.67 | $21.47 |
| District of Columbia | $20.89 | $17.35 |
| New York | $20.77 | $17.41 |
| New Jersey | $20.51 | $17.13 |
| Florida | $20.33 | $17.31 |
| Illinois | $20.09 | $17.19 |
| Connecticut | $20.02 | $16.78 |
| Washington | $19.97 | $16.54 |
| California | $19.95 | $16.39 |
| Massachusetts | $19.91 | $16.53 |
| Maryland | $19.55 | $16.42 |
| Rhode Island | $19.31 | $16.21 |
| Hawaii | $19.30 | $15.88 |
| Colorado | $19.27 | $16.07 |
| Michigan | $19.22 | $16.39 |
| New Hampshire | $19.12 | $15.99 |
| Pennsylvania | $19.11 | $16.17 |
| Oregon | $19.09 | $15.92 |
| Puerto Rico | $19.08 | $16.05 |
| Virgin Islands | $19.08 | $16.05 |
| Georgia | $19.05 | $16.17 |
| Montana | $19.04 | $16.03 |
| Texas | $18.91 | $15.96 |
| Delaware | $18.89 | $15.92 |
| West Virginia | $18.83 | $16.21 |
| Nevada | $18.82 | $15.81 |
| New Mexico | $18.81 | $16.05 |
| Wyoming | $18.69 | $15.69 |
| Arizona | $18.66 | $15.75 |
| Louisiana | $18.58 | $15.84 |
| Utah | $18.54 | $15.72 |
| Virginia | $18.54 | $15.59 |
| Ohio | $18.53 | $15.78 |
| Missouri | $18.52 | $15.76 |
| South Carolina | $18.38 | $15.60 |
| Vermont | $18.32 | $15.34 |
| Maine | $18.27 | $15.40 |
| Minnesota | $18.27 | $15.18 |
| Kentucky | $18.26 | $15.59 |
| North Dakota | $18.24 | $15.24 |
| North Carolina | $18.15 | $15.35 |
| South Dakota | $18.15 | $15.15 |
| Oklahoma | $18.10 | $15.41 |
| Indiana | $17.91 | $15.13 |
| Tennessee | $17.87 | $15.14 |
| Wisconsin | $17.86 | $14.98 |
| Idaho | $17.85 | $15.09 |
| Mississippi | $17.85 | $15.27 |
| Kansas | $17.80 | $15.08 |
| Nebraska | $17.74 | $14.97 |
| Iowa | $17.72 | $14.97 |
| Alabama | $17.71 | $15.08 |
| Arkansas | $17.54 | $14.96 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99446 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