# CPT 99471: Pediatric critical care, initial inpatient care, per day, for a critically ill infant (29 days through 24 months)

Medicare CPT 99471 pays $674.36 in a non-facility setting and $674.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $643.16 in Arkansas to $933.38 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99471-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $674.36 |
| National facility | $674.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $933.38 | $933.38 |
| District of Columbia | $726.07 | $726.07 |
| New York | $723.99 | $723.99 |
| New Jersey | $718.14 | $718.14 |
| Florida | $706.02 | $706.02 |
| Illinois | $702.72 | $702.72 |
| Connecticut | $700.26 | $700.26 |
| Washington | $699.26 | $699.26 |
| California | $698.07 | $698.07 |
| Massachusetts | $697.69 | $697.69 |
| Maryland | $688.44 | $688.44 |
| Rhode Island | $684.48 | $684.48 |
| Michigan | $681.28 | $681.28 |
| Colorado | $680.41 | $680.41 |
| Pennsylvania | $679.25 | $679.25 |
| Georgia | $676.72 | $676.72 |
| Oregon | $675.25 | $675.25 |
| Hawaii | $675.18 | $675.18 |
| Puerto Rico | $675.05 | $675.05 |
| Virgin Islands | $675.05 | $675.05 |
| New Hampshire | $674.64 | $674.64 |
| West Virginia | $674.53 | $674.53 |
| Montana | $674.30 | $674.30 |
| Texas | $673.28 | $673.28 |
| Delaware | $672.40 | $672.40 |
| New Mexico | $672.08 | $672.08 |
| Nevada | $668.95 | $668.95 |
| Louisiana | $666.57 | $666.57 |
| Arizona | $666.27 | $666.27 |
| Wyoming | $665.77 | $665.77 |
| Ohio | $665.27 | $665.27 |
| Missouri | $664.99 | $664.99 |
| Utah | $664.54 | $664.54 |
| Virginia | $662.81 | $662.81 |
| South Carolina | $661.23 | $661.23 |
| Kentucky | $659.62 | $659.62 |
| Maine | $657.23 | $657.23 |
| Vermont | $656.95 | $656.95 |
| Oklahoma | $655.48 | $655.48 |
| North Carolina | $655.22 | $655.22 |
| North Dakota | $654.72 | $654.72 |
| Minnesota | $654.20 | $654.20 |
| South Dakota | $652.41 | $652.41 |
| Mississippi | $650.78 | $650.78 |
| Indiana | $649.52 | $649.52 |
| Tennessee | $649.27 | $649.27 |
| Idaho | $648.33 | $648.33 |
| Kansas | $647.64 | $647.64 |
| Wisconsin | $646.96 | $646.96 |
| Alabama | $646.57 | $646.57 |
| Nebraska | $645.52 | $645.52 |
| Iowa | $645.28 | $645.28 |
| Arkansas | $643.16 | $643.16 |

## Related codes

- 99291: Critical care, evaluation and management of the critically ill or injured patient, first 30-74 minutes — https://www.med-reveal.com/rates/99291-cpt-fee-schedule
- 99292: Critical care, each additional 30 minutes (add-on) — https://www.med-reveal.com/rates/99292-cpt-fee-schedule
- 99468: Neonatal critical care, initial inpatient care, per day, for a critically ill neonate (28 days of age or younger) — https://www.med-reveal.com/rates/99468-cpt-fee-schedule
- 99469: Neonatal critical care, subsequent inpatient care, per day, for a critically ill neonate — https://www.med-reveal.com/rates/99469-cpt-fee-schedule
- 99472: Pediatric critical care, subsequent inpatient care, per day, for a critically ill infant — https://www.med-reveal.com/rates/99472-cpt-fee-schedule
- 99475: Pediatric critical care, initial inpatient care, per day, for a critically ill patient (2 through 5 years) — https://www.med-reveal.com/rates/99475-cpt-fee-schedule
- 99476: Pediatric critical care, subsequent inpatient care, per day, for a critically ill patient — https://www.med-reveal.com/rates/99476-cpt-fee-schedule
- 99477: Initial hospital care, per day, for a neonate requiring intensive observation, not critically ill — https://www.med-reveal.com/rates/99477-cpt-fee-schedule

Commercial negotiated rates for 99471 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