# CPT 99465: Delivery/birthing Room Resuscitation

Medicare CPT 99465 pays $123.58 in a non-facility setting and $123.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.89 in Arkansas to $171.10 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99465-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $123.58 |
| National facility | $123.58 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $171.10 | $171.10 |
| District of Columbia | $133.06 | $133.06 |
| New York | $132.66 | $132.66 |
| New Jersey | $131.60 | $131.60 |
| Florida | $129.34 | $129.34 |
| Illinois | $128.73 | $128.73 |
| Connecticut | $128.32 | $128.32 |
| Washington | $128.16 | $128.16 |
| California | $127.95 | $127.95 |
| Massachusetts | $127.87 | $127.87 |
| Maryland | $126.16 | $126.16 |
| Rhode Island | $125.44 | $125.44 |
| Michigan | $124.83 | $124.83 |
| Colorado | $124.70 | $124.70 |
| Pennsylvania | $124.48 | $124.48 |
| Georgia | $124.01 | $124.01 |
| Oregon | $123.76 | $123.76 |
| Hawaii | $123.75 | $123.75 |
| Puerto Rico | $123.71 | $123.71 |
| Virgin Islands | $123.71 | $123.71 |
| New Hampshire | $123.64 | $123.64 |
| West Virginia | $123.59 | $123.59 |
| Montana | $123.57 | $123.57 |
| Texas | $123.39 | $123.39 |
| Delaware | $123.23 | $123.23 |
| New Mexico | $123.16 | $123.16 |
| Nevada | $122.60 | $122.60 |
| Louisiana | $122.15 | $122.15 |
| Arizona | $122.11 | $122.11 |
| Wyoming | $122.02 | $122.02 |
| Ohio | $121.92 | $121.92 |
| Missouri | $121.87 | $121.87 |
| Utah | $121.79 | $121.79 |
| Virginia | $121.48 | $121.48 |
| South Carolina | $121.18 | $121.18 |
| Kentucky | $120.88 | $120.88 |
| Maine | $120.46 | $120.46 |
| Vermont | $120.42 | $120.42 |
| Oklahoma | $120.13 | $120.13 |
| North Carolina | $120.09 | $120.09 |
| North Dakota | $120.01 | $120.01 |
| Minnesota | $119.92 | $119.92 |
| South Dakota | $119.59 | $119.59 |
| Mississippi | $119.27 | $119.27 |
| Indiana | $119.05 | $119.05 |
| Tennessee | $119.01 | $119.01 |
| Idaho | $118.84 | $118.84 |
| Kansas | $118.71 | $118.71 |
| Wisconsin | $118.60 | $118.60 |
| Alabama | $118.51 | $118.51 |
| Nebraska | $118.33 | $118.33 |
| Iowa | $118.28 | $118.28 |
| Arkansas | $117.89 | $117.89 |

## 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 99465 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