CPT code 99183: Hyperbaric oxygen, professional service2026 Medicare rate & RVUs in Merced, CA

Reports the physician’s professional service for a hyperbaric oxygen treatment session, separately from the technical service for chamber treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality295.6K Medicare services in 2024

In Merced, CA, Medicare pays $109.77 for 99183 in the office and $109.77 when it’s performed in a hospital or facility.

$109.77Office (non-facility)
$109.77Hospital or facility
+0.2%vs the national office rate ($109.55)

Check a contract rate as a % of Medicare · 99183 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99183 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced, CA
  2. What 99183 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99183 covers

Code 99183 represents the physician’s professional involvement in a hyperbaric oxygen treatment session. In a hospital or outpatient wound-care setting, the physician oversees the patient during treatment and documents the clinical assessment and response. Common treatment situations include selected diabetic lower-extremity wounds and tissue injury from radiation; the code represents the professional service, not the chamber or oxygen equipment.

Report the code for each documented session in which the physician provides the professional service. The record should identify the treatment session, the patient’s condition and relevant assessment, and the physician’s oversight and report. CMS identifies 99183 as a professional-component-only code; the technical portion is represented separately, commonly by HCPCS G0277 for hyperbaric oxygen under pressure in a full-body chamber. Keep documentation and claims distinct so the professional service is not mistaken for the chamber’s technical service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Merced, CA compares for 99183

Across 109 of 109 payment localities, the office rate for 99183 runs from $100.82 in Arkansas to $142.14 in Alaska. Merced, CA pays $109.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

99183 in Merced, CA vs other payment areas
  1. Merced, CA · this page$109.77
  2. Bakersfield, CA · California$110.54+$0.77
  3. Chico, CA · California$109.77
  4. El Centro, CA · California$109.82+$0.05
  5. Fresno, CA · California$109.77
  6. Hanford, CA · California$109.77
  7. Los Angeles, CA · California$115.33+$5.56

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

99183 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$109.77$109.77
Modesto, CACalifornia$109.77$109.77
Napa, CACalifornia$119.81$119.81
Oxnard, CACalifornia$114.04$114.04
Redding, CACalifornia$109.77$109.77
Rest of CaliforniaCalifornia$109.77$109.77
Riverside, CACalifornia$112.60$112.60
Sacramento, CACalifornia$113.23$113.23

99183 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$100.82

$142.14

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99183 office rate range by state
State / territoryOffice rate rangeLocalities
AK$142.141
AL$101.781
AR$100.821
AZ$107.311
CA$109.77–$127.2729
CO$110.531
CT$115.221
DC$119.961
DE$108.641
FL$112.51–$124.153
GA$107.76–$112.022
GU$110.291
HI$110.291
IA$101.591
ID$102.411
IL$111.65–$121.444
IN$102.751
KS$102.171
KY$105.261
LA$105.50–$108.842
MA$110.59–$117.642
MD$109.92–$119.963
ME$103.71–$106.062
MI$107.89–$114.392
MN$104.371
MO$104.90–$108.033
MS$102.831
MT$109.541
NC$104.271
ND$104.401
NE$101.681
NH$109.781
NJ$116.10–$119.612
NM$108.641
NV$108.141
NY$105.37–$127.465
OH$106.831
OK$104.191
OR$106.85–$111.992
PA$106.45–$113.782
PR$109.781
RI$110.981
SC$105.821
SD$103.791
TN$102.621
TX$106.05–$113.158
UT$106.751
VA$106.46–$119.962
VI$109.781
VT$104.941
WA$110.07–$118.682
WI$102.201
WV$109.101
WY$107.301

See 99183 in every payment locality

How the 99183 rate is calculated

Each of 99183’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99183

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.06

2.06 RVUs× 1.000 GPCI

Practice expense0.96

0.96 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

3.2800

Conversion factor

$33.4009

Medicare rate

$109.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Merced, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,001

Code
99183
Physician work
2.06
Practice expense
0.96
Malpractice
0.26

GPCI2026.csv

15

Locality
Merced, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 99183 in Merced, CA
ComponentRVULocality factorAdjusted
Physician work2.06× 1.0172.0950
Practice expense0.96× 1.0961.0522
Malpractice0.26× 0.5360.1394
Total RVUs3.2865
Conversion factor× 33.4009

Office rate, Merced, CA$109.77

Office: (2.06 × 1.017 + 0.96 × 1.096 + 0.26 × 0.536) × $33.4009 = $109.77

Facility: (2.06 × 1.017 + 0.96 × 1.096 + 0.26 × 0.536) × $33.4009 = $109.77

Open 99183 in the RVU calculator

Payment rules and modifiers for 99183

The CMS indicators that decide how 99183 is paid alongside other services.

CMS payment indicators · 99183

Hyperbaric oxygen, professional service

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical2Professional component only.

How 99183 has changed in Merced, CA

99183 · Office / nonfacility

$109.77

Effective 2026-10-01

The base rate is $8.10 higher than on 2025-10-01, moving from $101.67 to $109.77 (8.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $101.67changed to$109.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.11 changed to 2.06
    • Practice expense RVU 0.78 changed to 0.96
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $104.08changed to$101.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.77 changed to 0.78
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $102.38changed to$104.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $106.26changed to$102.38

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $108.90changed to$106.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.78 changed to 0.77
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $110.01changed to$108.90

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $113.75changed to$110.01

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $112.04changed to$113.75

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.76 changed to 0.78
    • Malpractice RVU 0.25 changed to 0.27
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $112.51changed to$112.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.77 changed to 0.76
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $113.22changed to$112.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.78 changed to 0.77
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$113.22

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$109.77$109.77RVU26D
2026-07-01$109.77$109.77RVU26C
2026-04-01$109.77$109.77RVU26B
2026-01-01$109.77$109.77RVU26A
2025-10-01$101.67$101.67RVU25D
2025-07-01$101.67$101.67RVU25C
2025-04-01$101.67$101.67RVU25B
2025-01-01$101.67$101.67RVU25A
2024-10-01$104.08$104.08RVU24D
2024-07-01$104.08$104.08RVU24C
2024-04-01$104.08$104.08RVU24B
2024-03-09$104.08$104.08RVU24AR
2024-01-01$102.38$102.38RVU24A
2023-10-01$106.26$106.26RVU23D
2023-07-01$106.26$106.26RVU23C
2023-04-01$106.26$106.26RVU23B
2023-01-01$106.26$106.26RVU23A
2022-10-01$108.90$108.90RVU22D
2022-07-01$108.90$108.90RVU22C
2022-04-01$108.90$108.90RVU22B
2022-01-01$108.90$108.90RVU22A
2021-10-01$110.01$110.01RVU21D
2021-07-01$110.01$110.01RVU21C
2021-04-01$110.01$110.01RVU21B
2021-01-01$110.01$110.01RVU21A
2020-10-01$113.75$113.75RVU20D
2020-07-01$113.75$113.75RVU20C
2020-04-01$113.75$113.75RVU20B
2020-01-01$113.75$113.75RVU20A
2019-10-01$112.04$112.04RVU19D
2019-07-01$112.04$112.04RVU19C
2019-04-01$112.04$112.04RVU19B
2019-01-01$112.04$112.04RVU19A
2018-10-01$112.51$112.51RVU18D
2018-07-01$112.51$112.51RVU18C
2018-04-01$112.51$112.51RVU18B
2018-01-01$112.51$112.51RVU18AR1
2017-10-01$113.22$113.22RVU17D
2017-07-01$113.22$113.22RVU17C
2017-04-01$113.22$113.22RVU17B
2017-01-01$113.22$113.22RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 99183 for an earlier date of service

Where the Merced, CA rate applies

Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Merced
  • Atwater
  • Ballico
  • Bear Creek
  • Cressey
  • Delhi
  • Dos Palos
  • Dos Palos Y

Browse all communities in California

99183 billing questions

Does 99183 include the hyperbaric chamber service?

No. CMS identifies 99183 as professional-component-only; the chamber’s technical service is reported separately, commonly with HCPCS G0277.

What should the physician document for 99183?

Document the treatment session, the patient’s condition and assessment, and the physician’s oversight and report for that session.

Is 99183 reported once per course of therapy or per session?

It represents a treatment session, so report it for each session when the physician provides and documents the professional service.

Should modifier 26 be appended to 99183?

CMS identifies 99183 itself as a professional-component-only code. Do not treat it as the technical chamber service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 99183PPRRVU2026_Oct_nonQPP.csv, line 13,001 (RVU26D)
Geographic factors for Merced, CAGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

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