CPT code 99232: Subsequent hospital visit, moderate MDM or 35 minutes2026 Medicare rate & RVUs in Wyoming

In Wyoming, Medicare pays $69.43 for 99232 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 99232 nationwide

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

What 99232 covers

A physician or qualified nonphysician practitioner reports this level when following a patient receiving hospital inpatient or observation care. Hospitalists, internists, cardiologists, and nephrologists may use it while managing conditions such as heart failure, pneumonia, or acute kidney injury. The condition alone does not determine the level; the documented work must support moderate medical decision making (MDM), or the practitioner must meet the time requirement. Medicare reports this code predominantly in the facility setting.

Select 99232 by moderate MDM or at least 35 minutes of the billing practitioner's total time on the date of service, including qualifying work away from the unit. When selecting by MDM, document the problems addressed, data reviewed or analyzed, and management risk; at least two MDM elements must reach the moderate level. When selecting by time, document the total time. Practitioners in the same specialty and group generally report one hospital E/M visit per patient per day. For a split or shared visit by a physician and nonphysician practitioner in the same group, the practitioner who performed the substantive portion bills with modifier FS.

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 Wyoming compares for 99232

Across 109 of 109 payment localities, the facility rate for 99232 runs from $66.65 in Arkansas to $96.10 in Alaska. Wyoming pays $69.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99232 rates by state

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

See 99232 in every payment locality

How the 99232 rate is calculated

Each of 99232’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.

Payment rules and modifiers for 99232

99232 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 99232

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99232 has changed in Wyoming

Price 99232 for an earlier date of service

Where the Wyoming rate applies

Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

• Afton
• Albany
• Albin
• Alcova
• Alpine
• Alpine Northeast
• Alpine Northwest
• Alta

Browse all communities in Wyoming

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

Open CMS sourceHow we calculate rates