CPT code 99236: Hospital care, same-date admission and discharge2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $189.31 for 99236 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 99236 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 99236 covers

This service covers a high-complexity evaluation and management encounter in which a physician or other qualified health care professional admits a patient to inpatient or observation care and discharges the patient on that same calendar date. It may be used in a hospital setting when the patient’s condition and care needs warrant a high level of decision making, such as a serious acute presentation requiring substantial evaluation and management before safe discharge.

Choose this level when medical decision making is high or, when selecting by time, the reporting professional’s total time on the date meets or exceeds 85 minutes. The record should establish the admission and discharge dates and support the selected level through the medical decision-making elements or a time statement. Report one combined same-date service rather than separate admission and discharge E/M services. Medicare values the service through the physician fee schedule.

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 New Mexico compares for 99236

Across 109 of 109 payment localities, the facility rate for 99236 runs from $179.08 in Arkansas to $258.34 in Alaska. New Mexico pays $189.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99236 rates by state

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

See 99236 in every payment locality

How the 99236 rate is calculated

Each of 99236’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 99236

99236 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 99236

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

How 99236 has changed in New Mexico

Price 99236 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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