# CPT 99477: Initial hospital care, per day, for a neonate requiring intensive observation, not critically ill

Medicare CPT 99477 pays $295.26 in a non-facility setting and $295.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $281.66 in Arkansas to $408.78 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99477-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $295.26 |
| National facility | $295.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $408.78 | $408.78 |
| District of Columbia | $317.90 | $317.90 |
| New York | $316.96 | $316.96 |
| New Jersey | $314.42 | $314.42 |
| Florida | $309.02 | $309.02 |
| Illinois | $307.58 | $307.58 |
| Connecticut | $306.58 | $306.58 |
| Washington | $306.20 | $306.20 |
| California | $305.70 | $305.70 |
| Massachusetts | $305.50 | $305.50 |
| Maryland | $301.42 | $301.42 |
| Rhode Island | $299.71 | $299.71 |
| Michigan | $298.25 | $298.25 |
| Colorado | $297.94 | $297.94 |
| Pennsylvania | $297.40 | $297.40 |
| Georgia | $296.27 | $296.27 |
| Oregon | $295.69 | $295.69 |
| Hawaii | $295.67 | $295.67 |
| Puerto Rico | $295.57 | $295.57 |
| Virgin Islands | $295.57 | $295.57 |
| New Hampshire | $295.40 | $295.40 |
| West Virginia | $295.28 | $295.28 |
| Montana | $295.24 | $295.24 |
| Texas | $294.80 | $294.80 |
| Delaware | $294.42 | $294.42 |
| New Mexico | $294.24 | $294.24 |
| Nevada | $292.91 | $292.91 |
| Louisiana | $291.84 | $291.84 |
| Arizona | $291.74 | $291.74 |
| Wyoming | $291.53 | $291.53 |
| Ohio | $291.28 | $291.28 |
| Missouri | $291.16 | $291.16 |
| Utah | $290.97 | $290.97 |
| Virginia | $290.24 | $290.24 |
| South Carolina | $289.53 | $289.53 |
| Kentucky | $288.82 | $288.82 |
| Maine | $287.81 | $287.81 |
| Vermont | $287.70 | $287.70 |
| Oklahoma | $287.02 | $287.02 |
| North Carolina | $286.92 | $286.92 |
| North Dakota | $286.73 | $286.73 |
| Minnesota | $286.52 | $286.52 |
| South Dakota | $285.73 | $285.73 |
| Mississippi | $284.97 | $284.97 |
| Indiana | $284.44 | $284.44 |
| Tennessee | $284.33 | $284.33 |
| Idaho | $283.93 | $283.93 |
| Kansas | $283.62 | $283.62 |
| Wisconsin | $283.35 | $283.35 |
| Alabama | $283.14 | $283.14 |
| Nebraska | $282.70 | $282.70 |
| Iowa | $282.60 | $282.60 |
| Arkansas | $281.66 | $281.66 |

## 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
- 99476: Pediatric critical care, subsequent inpatient care, per day, for a critically ill patient — https://www.med-reveal.com/rates/99476-cpt-fee-schedule

Commercial negotiated rates for 99477 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