# CPT 99453: Rem Mntr Physiol Param 1st Set Up Pt Educaj Eqp

Medicare CPT 99453 pays $21.71 in a non-facility setting and $21.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.42 in Arkansas to $25.53 in District of Columbia, a 39% spread.

Web page: https://www.med-reveal.com/rates/99453-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $21.71 |
| National facility | $21.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $25.53 | $25.53 |
| California | $25.26 | $25.26 |
| Washington | $24.52 | $24.52 |
| New Jersey | $24.42 | $24.42 |
| New York | $24.38 | $24.38 |
| Hawaii | $24.31 | $24.31 |
| Massachusetts | $24.21 | $24.21 |
| Connecticut | $23.47 | $23.47 |
| Colorado | $22.91 | $22.91 |
| Alaska | $22.78 | $22.78 |
| Maryland | $22.66 | $22.66 |
| Oregon | $22.66 | $22.66 |
| New Hampshire | $22.49 | $22.49 |
| Florida | $22.41 | $22.41 |
| Rhode Island | $22.33 | $22.33 |
| Puerto Rico | $21.93 | $21.93 |
| Virgin Islands | $21.93 | $21.93 |
| Minnesota | $21.85 | $21.85 |
| Montana | $21.71 | $21.71 |
| Nevada | $21.62 | $21.62 |
| Illinois | $21.61 | $21.61 |
| Wyoming | $21.54 | $21.54 |
| Delaware | $21.39 | $21.39 |
| Texas | $21.34 | $21.34 |
| Pennsylvania | $21.33 | $21.33 |
| North Dakota | $21.31 | $21.31 |
| South Dakota | $21.27 | $21.27 |
| Vermont | $21.17 | $21.17 |
| Virginia | $21.16 | $21.16 |
| Arizona | $20.96 | $20.96 |
| Georgia | $20.88 | $20.88 |
| Michigan | $20.70 | $20.70 |
| Maine | $20.52 | $20.52 |
| Utah | $20.38 | $20.38 |
| Wisconsin | $20.36 | $20.36 |
| New Mexico | $20.10 | $20.10 |
| North Carolina | $20.06 | $20.06 |
| South Carolina | $20.01 | $20.01 |
| Missouri | $19.97 | $19.97 |
| Louisiana | $19.91 | $19.91 |
| Ohio | $19.89 | $19.89 |
| Indiana | $19.83 | $19.83 |
| Idaho | $19.68 | $19.68 |
| Nebraska | $19.67 | $19.67 |
| Iowa | $19.52 | $19.52 |
| Tennessee | $19.49 | $19.49 |
| Kansas | $19.36 | $19.36 |
| Kentucky | $19.32 | $19.32 |
| Oklahoma | $19.31 | $19.31 |
| West Virginia | $19.24 | $19.24 |
| Alabama | $18.79 | $18.79 |
| Mississippi | $18.61 | $18.61 |
| Arkansas | $18.42 | $18.42 |

## 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 99453 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