# CPT 99449: Ntrprof Phone/ntrnet/ehr Assmt&mgmt 31/> Min

Medicare CPT 99449 pays $76.15 in a non-facility setting and $63.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $70.63 in Arkansas to $99.39 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99449-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $76.15 |
| National facility | $63.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $99.39 | $85.87 |
| District of Columbia | $83.65 | $68.70 |
| New York | $82.75 | $68.59 |
| New Jersey | $82.09 | $67.80 |
| California | $80.65 | $65.63 |
| Washington | $80.34 | $65.87 |
| Florida | $80.03 | $67.30 |
| Massachusetts | $80.00 | $65.74 |
| Connecticut | $79.89 | $66.22 |
| Illinois | $79.11 | $66.85 |
| Maryland | $78.16 | $64.92 |
| Hawaii | $77.94 | $63.51 |
| Colorado | $77.46 | $63.96 |
| Rhode Island | $77.45 | $64.34 |
| Oregon | $76.78 | $63.41 |
| New Hampshire | $76.69 | $63.48 |
| Puerto Rico | $76.37 | $63.54 |
| Virgin Islands | $76.37 | $63.54 |
| Pennsylvania | $76.33 | $63.90 |
| Michigan | $76.24 | $64.32 |
| Montana | $76.15 | $63.45 |
| Georgia | $75.85 | $63.74 |
| Texas | $75.73 | $63.24 |
| Delaware | $75.68 | $63.14 |
| Nevada | $75.51 | $62.81 |
| Wyoming | $75.11 | $62.42 |
| New Mexico | $74.85 | $63.21 |
| Arizona | $74.79 | $62.49 |
| West Virginia | $74.56 | $63.53 |
| Virginia | $74.54 | $62.07 |
| Utah | $74.22 | $62.29 |
| Louisiana | $74.13 | $62.55 |
| Minnesota | $74.07 | $61.01 |
| Missouri | $74.00 | $62.36 |
| Ohio | $73.98 | $62.39 |
| Vermont | $73.92 | $61.35 |
| North Dakota | $73.77 | $61.08 |
| South Carolina | $73.62 | $61.90 |
| Maine | $73.53 | $61.40 |
| South Dakota | $73.49 | $60.80 |
| North Carolina | $73.01 | $61.16 |
| Kentucky | $73.00 | $61.71 |
| Oklahoma | $72.54 | $61.21 |
| Wisconsin | $72.31 | $60.16 |
| Indiana | $72.24 | $60.48 |
| Idaho | $72.01 | $60.33 |
| Tennessee | $71.99 | $60.45 |
| Kansas | $71.73 | $60.26 |
| Nebraska | $71.71 | $59.99 |
| Iowa | $71.58 | $59.97 |
| Mississippi | $71.58 | $60.65 |
| Alabama | $71.24 | $60.14 |
| Arkansas | $70.63 | $59.73 |

## 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 99449 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