# CPT 99462: Subq Hospital Care Per Day E/m Normal Newborn

Medicare CPT 99462 pays $35.40 in a non-facility setting and $35.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.79 in Arkansas to $49.05 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99462-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Pediatrics

## Medicare rates

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

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $49.05 | $49.05 |
| District of Columbia | $38.12 | $38.12 |
| New York | $37.99 | $37.99 |
| New Jersey | $37.70 | $37.70 |
| Florida | $37.01 | $37.01 |
| Illinois | $36.83 | $36.83 |
| Connecticut | $36.75 | $36.75 |
| Washington | $36.73 | $36.73 |
| California | $36.69 | $36.69 |
| Massachusetts | $36.64 | $36.64 |
| Maryland | $36.14 | $36.14 |
| Rhode Island | $35.95 | $35.95 |
| Colorado | $35.74 | $35.74 |
| Michigan | $35.74 | $35.74 |
| Pennsylvania | $35.66 | $35.66 |
| Georgia | $35.52 | $35.52 |
| Hawaii | $35.48 | $35.48 |
| Oregon | $35.48 | $35.48 |
| Puerto Rico | $35.44 | $35.44 |
| Virgin Islands | $35.44 | $35.44 |
| New Hampshire | $35.43 | $35.43 |
| Montana | $35.40 | $35.40 |
| West Virginia | $35.38 | $35.38 |
| Texas | $35.35 | $35.35 |
| Delaware | $35.31 | $35.31 |
| New Mexico | $35.27 | $35.27 |
| Nevada | $35.13 | $35.13 |
| Arizona | $34.99 | $34.99 |
| Louisiana | $34.99 | $34.99 |
| Wyoming | $34.97 | $34.97 |
| Ohio | $34.92 | $34.92 |
| Missouri | $34.91 | $34.91 |
| Utah | $34.89 | $34.89 |
| Virginia | $34.82 | $34.82 |
| South Carolina | $34.72 | $34.72 |
| Kentucky | $34.63 | $34.63 |
| Maine | $34.53 | $34.53 |
| Vermont | $34.52 | $34.52 |
| North Carolina | $34.42 | $34.42 |
| Oklahoma | $34.42 | $34.42 |
| North Dakota | $34.41 | $34.41 |
| Minnesota | $34.39 | $34.39 |
| South Dakota | $34.30 | $34.30 |
| Mississippi | $34.18 | $34.18 |
| Indiana | $34.13 | $34.13 |
| Tennessee | $34.12 | $34.12 |
| Idaho | $34.07 | $34.07 |
| Kansas | $34.03 | $34.03 |
| Wisconsin | $34.01 | $34.01 |
| Alabama | $33.97 | $33.97 |
| Nebraska | $33.93 | $33.93 |
| Iowa | $33.92 | $33.92 |
| Arkansas | $33.79 | $33.79 |

## 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 99462 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