Evaluation & Management Procedures
96 procedures with Medicare rates from the CMS 2026 Physician Fee Schedule
Code
Description
Category
Medicare Rate
Hospital Outpatient
ASC
99445
Rem mntr physiol param 2-15
Evaluation & Management
$52
$38
—
99446
Ntrprof ph1/ntrnet/ehr 5-10
Evaluation & Management
$16
—
—
99447
Ntrprof ph1/ntrnet/ehr 11-20
Evaluation & Management
$32
—
—
99448
Ntrprof ph1/ntrnet/ehr 21-30
Evaluation & Management
$48
—
—
99449
Ntrprof ph1/ntrnet/ehr 31/>
Evaluation & Management
$63
—
—
99451
Ntrprof ph1/ntrnet/ehr 5/>
Evaluation & Management
$30
—
—
99452
Ntrprof ph1/ntrnet/ehr rfrl
Evaluation & Management
$31
—
—
99453
Rem mntr physiol param setup
Evaluation & Management
$22
$136
—
99454
Rem mntr physiol param 16-30
Evaluation & Management
$52
$38
—
99457
Rpm tx mgmt 1st 20 min
Evaluation & Management
$26
—
—
99458
Rpm tx mgmt ea addl 20 min
Evaluation & Management
$26
—
—
99459
Pelvic examination
Evaluation & Management
$17
—
—
99460
Init nb em per day hosp
Evaluation & Management
$81
$136
—
99461
Init nb em per day non-fac
Evaluation & Management
$53
—
—
99462
Sbsq nb em per day hosp
Evaluation & Management
$35
—
—
99463
Same day nb discharge
Evaluation & Management
$95
$136
—
99464
Attendance at delivery
Evaluation & Management
$63
—
—
99465
Nb resuscitation
Evaluation & Management
$124
$675
—
99466
Ped crit care transport
Evaluation & Management
$202
—
—
99467
Ped crit care transport addl
Evaluation & Management
$101
—
—
99468
Neonate crit care initial
Evaluation & Management
$779
—
—
99469
Neonate crit care subsq
Evaluation & Management
$337
—
—
99470
Rpm tx mgmt 1st 10 min
Evaluation & Management
$13
—
—
99471
Ped critical care initial
Evaluation & Management
$674
—
—
99472
Ped critical care subsq
Evaluation & Management
$352
—
—
99473
Self-meas bp pt educaj/train
Evaluation & Management
$15
$30
—
99474
Self-meas bp 2 readg bid 30d
Evaluation & Management
$8
—
—
99475
Ped crit care age 2-5 init
Evaluation & Management
$474
—
—
99476
Ped crit care age 2-5 subsq
Evaluation & Management
$306
—
—
99477
Init day hosp neonate care
Evaluation & Management
$295
—
—
99478
Sbsq ic vlbw inf<1,500 gm
Evaluation & Management
$116
—
—
99479
Sbsq ic lbw inf 1,500-2,500
Evaluation & Management
$105
—
—
99480
Sbsq ic inf pbw 2,501-5,000
Evaluation & Management
$101
—
—
99483
Assmt & care pln pt cog imp
Evaluation & Management
$170
$104
—
99484
Care mgmt svc bhvl hlth cond
Evaluation & Management
$39
$38
—
99487
Cplx chrnc care 1st 60 min
Evaluation & Management
$79
$181
—
99489
Cplx chrnc care ea addl 30
Evaluation & Management
$44
—
—
99490
Chrnc care mgmt staff 1st 20
Evaluation & Management
$44
$104
—
99491
Chrnc care mgmt phys 1st 30
Evaluation & Management
$65
—
—
99492
1st psyc collab care mgmt
Evaluation & Management
$82
$104
—
99493
Sbsq psyc collab care mgmt
Evaluation & Management
$90
$104
—
99494
1st/sbsq psyc collab care
Evaluation & Management
$36
—
—
99495
Transj care mgmt mod f2f 14d
Evaluation & Management
$122
$136
—
99496
Transj care mgmt high f2f 7d
Evaluation & Management
$166
$136
—
99497
Advncd care plan 30 min
Evaluation & Management
$66
$104
—
99498
Advncd care plan addl 30 min
Evaluation & Management
$63
—
—
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