# CPT 99451: Ntrprof Phone/ntrnet/ehr Assmt&mgmt 5/> Min

Medicare CPT 99451 pays $35.40 in a non-facility setting and $30.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.14 in Arkansas to $47.02 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/99451-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $35.40 |
| National facility | $30.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $47.02 | $41.33 |
| District of Columbia | $38.70 | $32.40 |
| New York | $38.31 | $32.35 |
| New Jersey | $38.05 | $32.04 |
| California | $37.38 | $31.05 |
| Washington | $37.24 | $31.15 |
| Massachusetts | $37.09 | $31.09 |
| Connecticut | $37.02 | $31.26 |
| Florida | $37.02 | $31.66 |
| Illinois | $36.66 | $31.49 |
| Maryland | $36.28 | $30.71 |
| Hawaii | $36.12 | $30.04 |
| Rhode Island | $36.01 | $30.49 |
| Colorado | $35.98 | $30.30 |
| Oregon | $35.69 | $30.05 |
| New Hampshire | $35.62 | $30.06 |
| Pennsylvania | $35.52 | $30.29 |
| Puerto Rico | $35.49 | $30.09 |
| Virgin Islands | $35.49 | $30.09 |
| Michigan | $35.46 | $30.44 |
| Montana | $35.40 | $30.06 |
| Georgia | $35.30 | $30.20 |
| Texas | $35.25 | $29.99 |
| Delaware | $35.23 | $29.95 |
| Nevada | $35.14 | $29.79 |
| Wyoming | $34.97 | $29.63 |
| New Mexico | $34.88 | $29.98 |
| Arizona | $34.84 | $29.67 |
| West Virginia | $34.77 | $30.12 |
| Virginia | $34.74 | $29.48 |
| Utah | $34.61 | $29.59 |
| Louisiana | $34.58 | $29.70 |
| Minnesota | $34.53 | $29.03 |
| Missouri | $34.52 | $29.62 |
| Ohio | $34.52 | $29.64 |
| Vermont | $34.48 | $29.19 |
| North Dakota | $34.41 | $29.07 |
| South Carolina | $34.37 | $29.43 |
| Maine | $34.33 | $29.22 |
| South Dakota | $34.30 | $28.95 |
| Kentucky | $34.11 | $29.36 |
| North Carolina | $34.11 | $29.12 |
| Oklahoma | $33.92 | $29.15 |
| Wisconsin | $33.81 | $28.69 |
| Indiana | $33.79 | $28.84 |
| Idaho | $33.70 | $28.78 |
| Tennessee | $33.69 | $28.83 |
| Kansas | $33.58 | $28.75 |
| Nebraska | $33.57 | $28.64 |
| Mississippi | $33.53 | $28.93 |
| Iowa | $33.52 | $28.63 |
| Alabama | $33.39 | $28.71 |
| Arkansas | $33.14 | $28.54 |

## 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 99451 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