# CPT 99476: Pediatric critical care, subsequent inpatient care, per day, for a critically ill patient

Medicare CPT 99476 pays $306.29 in a non-facility setting and $306.29 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $288.57 in Arkansas to $414.83 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/99476-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $306.29 |
| National facility | $306.29 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $414.83 | $414.83 |
| District of Columbia | $331.65 | $331.65 |
| New York | $330.80 | $330.80 |
| New Jersey | $327.28 | $327.28 |
| Florida | $323.89 | $323.89 |
| Illinois | $321.70 | $321.70 |
| Connecticut | $319.46 | $319.46 |
| Washington | $318.26 | $318.26 |
| Massachusetts | $317.55 | $317.55 |
| California | $317.40 | $317.40 |
| Maryland | $313.29 | $313.29 |
| Rhode Island | $310.65 | $310.65 |
| Michigan | $309.96 | $309.96 |
| Colorado | $308.97 | $308.97 |
| Pennsylvania | $308.30 | $308.30 |
| Georgia | $307.36 | $307.36 |
| Hawaii | $307.11 | $307.11 |
| Puerto Rico | $306.70 | $306.70 |
| Virgin Islands | $306.70 | $306.70 |
| New Hampshire | $306.55 | $306.55 |
| Oregon | $306.35 | $306.35 |
| Montana | $306.25 | $306.25 |
| West Virginia | $306.02 | $306.02 |
| Texas | $305.25 | $305.25 |
| Delaware | $304.81 | $304.81 |
| New Mexico | $304.79 | $304.79 |
| Nevada | $303.28 | $303.28 |
| Louisiana | $301.72 | $301.72 |
| Arizona | $301.70 | $301.70 |
| Wyoming | $301.51 | $301.51 |
| Ohio | $301.00 | $301.00 |
| Missouri | $300.85 | $300.85 |
| Utah | $300.66 | $300.66 |
| Virginia | $299.82 | $299.82 |
| South Carolina | $298.78 | $298.78 |
| Kentucky | $297.79 | $297.79 |
| Maine | $296.65 | $296.65 |
| Vermont | $296.59 | $296.59 |
| Oklahoma | $295.51 | $295.51 |
| North Carolina | $295.47 | $295.47 |
| North Dakota | $295.37 | $295.37 |
| Minnesota | $295.16 | $295.16 |
| South Dakota | $294.09 | $294.09 |
| Mississippi | $292.81 | $292.81 |
| Indiana | $292.28 | $292.28 |
| Tennessee | $292.10 | $292.10 |
| Idaho | $291.61 | $291.61 |
| Kansas | $291.18 | $291.18 |
| Wisconsin | $290.95 | $290.95 |
| Alabama | $290.51 | $290.51 |
| Nebraska | $290.05 | $290.05 |
| Iowa | $289.90 | $289.90 |
| Arkansas | $288.57 | $288.57 |

## 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
- 99471: Pediatric critical care, initial inpatient care, per day, for a critically ill infant (29 days through 24 months) — https://www.med-reveal.com/rates/99471-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
- 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 99476 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