CPT code 99447: Interprofessional consult, 11–20 minutes2026 Medicare rate & RVUs in Kentucky
A consulting physician reports an interprofessional medical review and clinician discussion lasting 11–20 minutes, with verbal and written guidance for the treating professional.
In Kentucky, Medicare pays $36.51 for 99447 in the office and $31.16 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99447 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99447 covers
99447 captures a remote consultation in which a treating clinician seeks another physician’s assessment of a particular patient’s care. The consultant reviews relevant records and discusses findings or management by telephone, internet, or electronic health record, then provides verbal and written feedback to the requesting clinician. For example, a primary care clinician may ask a cardiologist to review a patient’s clinical information and advise on management. The consultant reports the service; the treating clinician does not report 99447 for requesting the advice.
Choose 99447 when documented medical consultative review and discussion time totals 11–20 minutes. Record the request, material reviewed, discussion, recommendations, and report. The verbal and written report are integral to this consultation, not separate services under 99447. CMS physician fee schedule valuation includes physician work, practice expense, and malpractice; practice-expense valuation differs between office and facility settings.
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 Kentucky compares for 99447
Across 109 of 109 payment localities, the office rate for 99447 runs from $35.20 in Arkansas to $49.52 in Alaska. Kentucky pays $36.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$36.51
- Los Angeles, CA · California$40.51+$4.00
- Washington, DC area · District of Columbia$41.80+$5.29
- Miami, FL · Florida$42.16+$5.65
- Chicago, IL · Illinois$41.33+$4.82
- Manhattan, NY · New York$42.95+$6.44
- Alaska · Alaska$49.52+$13.01
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $35.52 | $30.26 |
| ArkansasArkansas | $35.20 | $30.04 |
| ArizonaArizona | $37.36 | $31.53 |
| Bakersfield, CACalifornia | $38.79 | $32.20 |
| Chico, CACalifornia | $38.58 | $31.99 |
| El Centro, CACalifornia | $38.59 | $32.00 |
| Fresno, CACalifornia | $38.58 | $31.99 |
| Hanford, CACalifornia | $38.58 | $31.99 |
| Madera, CACalifornia | $38.58 | $31.99 |
| Merced, CACalifornia | $38.58 | $31.99 |
| Modesto, CACalifornia | $38.58 | $31.99 |
| Napa, CACalifornia | $42.33 | $34.41 |
| Oxnard, CACalifornia | $40.10 | $32.99 |
| Redding, CACalifornia | $38.58 | $31.99 |
| Rest of CaliforniaCalifornia | $38.58 | $31.99 |
| Riverside, CACalifornia | $39.34 | $32.75 |
| Sacramento, CACalifornia | $39.85 | $32.86 |
| Salinas, CACalifornia | $39.68 | $32.71 |
| San Diego, CACalifornia | $40.13 | $32.94 |
| Marin County, CACalifornia | $44.10 | $35.62 |
| San Francisco, CACalifornia | $44.02 | $35.54 |
| San Benito County, CACalifornia | $45.03 | $36.36 |
| Santa Clara County, CACalifornia | $44.70 | $36.03 |
| San Luis Obispo, CACalifornia | $39.11 | $32.26 |
| Santa Cruz, CACalifornia | $40.14 | $32.84 |
| Santa Maria, CACalifornia | $39.70 | $32.69 |
| Santa Rosa, CACalifornia | $40.51 | $33.13 |
| Stockton, CACalifornia | $38.58 | $31.99 |
| Vallejo, CACalifornia | $42.22 | $34.29 |
| Visalia, CACalifornia | $38.58 | $31.99 |
| Yuba City, CACalifornia | $38.58 | $31.99 |
| ColoradoColorado | $38.64 | $32.24 |
| ConnecticutConnecticut | $39.99 | $33.51 |
| DelawareDelaware | $37.81 | $31.87 |
| Fort Lauderdale, FLFlorida | $40.13 | $34.04 |
| Rest of FloridaFlorida | $38.71 | $32.96 |
| Atlanta, GAGeorgia | $38.81 | $32.71 |
| Rest of GeorgiaGeorgia | $37.19 | $31.83 |
| Hawaii, Guam, HIHawaii | $38.79 | $31.95 |
| IowaIowa | $35.62 | $30.12 |
| IdahoIdaho | $35.86 | $30.33 |
| East St. Louis, ILIllinois | $39.46 | $33.93 |
| Rest of IllinoisIllinois | $38.32 | $32.83 |
| Suburban Chicago, ILIllinois | $40.38 | $34.20 |
| IndianaIndiana | $35.97 | $30.40 |
| KansasKansas | $35.73 | $30.30 |
| New Orleans, LALouisiana | $37.67 | $32.01 |
| Rest of LouisianaLouisiana | $36.56 | $31.24 |
| Metropolitan Boston, MAMassachusetts | $41.18 | $34.00 |
| Rest of MassachusettsMassachusetts | $38.63 | $32.30 |
| Baltimore area, MDMaryland | $39.91 | $33.46 |
| Rest of MarylandMaryland | $38.27 | $32.18 |
| Rest of MaineMaine | $36.20 | $30.67 |
| Southern Maine, MEMaine | $37.10 | $31.15 |
| Detroit, MIMichigan | $39.25 | $33.45 |
| Rest of MichiganMichigan | $37.30 | $31.81 |
| MinnesotaMinnesota | $36.79 | $30.60 |
| Metropolitan Kansas City, MOMissouri | $37.27 | $31.62 |
| Metropolitan St. Louis, MOMissouri | $37.49 | $31.76 |
| Rest of MissouriMissouri | $36.31 | $31.13 |
| MississippiMississippi | $35.75 | $30.57 |
| MontanaMontana | $38.07 | $32.06 |
| North CarolinaNorth Carolina | $36.40 | $30.80 |
| North DakotaNorth Dakota | $36.69 | $30.68 |
| NebraskaNebraska | $35.67 | $30.12 |
| New HampshireNew Hampshire | $38.29 | $32.03 |
| Northern New JerseyNew Jersey | $41.69 | $34.71 |
| Rest of New JerseyNew Jersey | $40.38 | $33.81 |
| New MexicoNew Mexico | $37.52 | $32.01 |
| NevadaNevada | $37.70 | $31.68 |
| NYC suburbs and Long Island, NYNew York | $43.91 | $36.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $40.79 | $34.21 |
| Queens, NYNew York | $42.86 | $35.75 |
| Rest of New YorkNew York | $36.76 | $31.05 |
| OhioOhio | $37.02 | $31.53 |
| OklahomaOklahoma | $36.23 | $30.86 |
| Portland, OROregon | $39.22 | $32.54 |
| Rest of OregonOregon | $37.33 | $31.35 |
| Metropolitan Philadelphia, PAPennsylvania | $39.46 | $33.20 |
| Rest of PennsylvaniaPennsylvania | $36.94 | $31.42 |
| Puerto RicoPuerto Rico | $38.18 | $32.10 |
| Rhode IslandRhode Island | $38.68 | $32.47 |
| South CarolinaSouth Carolina | $36.79 | $31.23 |
| South DakotaSouth Dakota | $36.52 | $30.51 |
| TennesseeTennessee | $35.87 | $30.40 |
| Austin, TXTexas | $38.57 | $32.21 |
| Beaumont, TXTexas | $36.80 | $31.33 |
| Brazoria, TXTexas | $37.64 | $31.68 |
| Dallas, TXTexas | $37.91 | $31.92 |
| Fort Worth, TXTexas | $37.81 | $31.88 |
| Galveston, TXTexas | $37.78 | $31.81 |
| Houston, TXTexas | $39.06 | $33.09 |
| Rest of TexasTexas | $37.22 | $31.51 |
| UtahUtah | $37.10 | $31.45 |
| VirginiaVirginia | $37.18 | $31.27 |
| Virgin Islands, VIUnited States Virgin Islands | $38.18 | $32.10 |
| VermontVermont | $36.80 | $30.85 |
| Rest of WashingtonWashington | $38.48 | $32.15 |
| King County, WAWashington | $41.62 | $34.25 |
| WisconsinWisconsin | $35.94 | $30.18 |
| West VirginiaWest Virginia | $37.47 | $32.24 |
| WyomingWyoming | $37.47 | $31.46 |
99447 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.
$35.20
$49.52
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $49.52 | 1 |
| AL | $35.52 | 1 |
| AR | $35.20 | 1 |
| AZ | $37.36 | 1 |
| CA | $38.58–$45.03 | 29 |
| CO | $38.64 | 1 |
| CT | $39.99 | 1 |
| DC | $41.80 | 1 |
| DE | $37.81 | 1 |
| FL | $38.71–$42.16 | 3 |
| GA | $37.19–$38.81 | 2 |
| GU | $38.79 | 1 |
| HI | $38.79 | 1 |
| IA | $35.62 | 1 |
| ID | $35.86 | 1 |
| IL | $38.32–$41.33 | 4 |
| IN | $35.97 | 1 |
| KS | $35.73 | 1 |
| KY | $36.51 | 1 |
| LA | $36.56–$37.67 | 2 |
| MA | $38.63–$41.18 | 2 |
| MD | $38.27–$41.80 | 3 |
| ME | $36.20–$37.10 | 2 |
| MI | $37.30–$39.25 | 2 |
| MN | $36.79 | 1 |
| MO | $36.31–$37.49 | 3 |
| MS | $35.75 | 1 |
| MT | $38.07 | 1 |
| NC | $36.40 | 1 |
| ND | $36.69 | 1 |
| NE | $35.67 | 1 |
| NH | $38.29 | 1 |
| NJ | $40.38–$41.69 | 2 |
| NM | $37.52 | 1 |
| NV | $37.70 | 1 |
| NY | $36.76–$43.91 | 5 |
| OH | $37.02 | 1 |
| OK | $36.23 | 1 |
| OR | $37.33–$39.22 | 2 |
| PA | $36.94–$39.46 | 2 |
| PR | $38.18 | 1 |
| RI | $38.68 | 1 |
| SC | $36.79 | 1 |
| SD | $36.52 | 1 |
| TN | $35.87 | 1 |
| TX | $36.80–$39.06 | 8 |
| UT | $37.10 | 1 |
| VA | $37.18–$41.80 | 2 |
| VI | $38.18 | 1 |
| VT | $36.80 | 1 |
| WA | $38.48–$41.62 | 2 |
| WI | $35.94 | 1 |
| WV | $37.47 | 1 |
| WY | $37.47 | 1 |
How the 99447 rate is calculated
Each of 99447’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 · 99447
RVUs × geographic indexes × conversion factor
Work0.70
0.70 RVUs× 1.000 GPCI
Practice expense0.37
0.37 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.1400
Conversion factor
$33.4009
Medicare rate
$38.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,114
- Code
- 99447
- Physician work
- 0.70
- Practice expense
- 0.37
- Malpractice
- 0.07
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 0.37 | × 0.889 | 0.3289 |
| Malpractice | 0.07 | × 0.915 | 0.0641 |
| Total RVUs | 1.0930 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$36.51
Office: (0.7 × 1 + 0.37 × 0.889 + 0.07 × 0.915) × $33.4009 = $36.51
Facility: (0.7 × 1 + 0.19 × 0.889 + 0.07 × 0.915) × $33.4009 = $31.16
Payment rules and modifiers for 99447
99447 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.
Place of service · 99447
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$38.08
- Non-facility (office)
- $38.08
- Facility
- $32.06
Higher because the practice carries its own overhead.
How 99447 has changed in Kentucky
99447 · Office / nonfacility
$36.51
Effective 2026-10-01
The base rate is $3.30 higher than on 2025-10-01, moving from $33.21 to $36.51 (9.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$33.21changed to$36.51
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.31 changed to 0.37
- Malpractice RVU 0.06 changed to 0.07
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$34.48changed to$33.21
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$33.92changed to$34.48
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$34.07changed to$33.92
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.29 changed to 0.31
- Malpractice RVU 0.06 changed to 0.07
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$34.95changed to$34.07
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.07 changed to 0.06
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$32.52changed to$34.95
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.21 changed to 0.29
- Malpractice RVU 0.06 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$35.56changed to$32.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.27 changed to 0.21
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$34.97changed to$35.56
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.04 changed to 0.06
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$34.97
Held through RVU19B, RVU19C, RVU19D.
January 1, 2014
RVU14A
No ratechanged toNo rate
Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $36.51 | $31.16 | RVU26D |
| 2026-07-01 | $36.51 | $31.16 | RVU26C |
| 2026-04-01 | $36.51 | $31.16 | RVU26B |
| 2026-01-01 | $36.51 | $31.16 | RVU26A |
| 2025-10-01 | $33.21 | $33.21 | RVU25D |
| 2025-07-01 | $33.21 | $33.21 | RVU25C |
| 2025-04-01 | $33.21 | $33.21 | RVU25B |
| 2025-01-01 | $33.21 | $33.21 | RVU25A |
| 2024-10-01 | $34.48 | $34.48 | RVU24D |
| 2024-07-01 | $34.48 | $34.48 | RVU24C |
| 2024-04-01 | $34.48 | $34.48 | RVU24B |
| 2024-03-09 | $34.48 | $34.48 | RVU24AR |
| 2024-01-01 | $33.92 | $33.92 | RVU24A |
| 2023-10-01 | $34.07 | $34.07 | RVU23D |
| 2023-07-01 | $34.07 | $34.07 | RVU23C |
| 2023-04-01 | $34.07 | $34.07 | RVU23B |
| 2023-01-01 | $34.07 | $34.07 | RVU23A |
| 2022-10-01 | $34.95 | $34.95 | RVU22D |
| 2022-07-01 | $34.95 | $34.95 | RVU22C |
| 2022-04-01 | $34.95 | $34.95 | RVU22B |
| 2022-01-01 | $34.95 | $34.95 | RVU22A |
| 2021-10-01 | $32.52 | $32.52 | RVU21D |
| 2021-07-01 | $32.52 | $32.52 | RVU21C |
| 2021-04-01 | $32.52 | $32.52 | RVU21B |
| 2021-01-01 | $32.52 | $32.52 | RVU21A |
| 2020-10-01 | $35.56 | $35.56 | RVU20D |
| 2020-07-01 | $35.56 | $35.56 | RVU20C |
| 2020-04-01 | $35.56 | $35.56 | RVU20B |
| 2020-01-01 | $35.56 | $35.56 | RVU20A |
| 2019-10-01 | $34.97 | $34.97 | RVU19D |
| 2019-07-01 | $34.97 | $34.97 | RVU19C |
| 2019-04-01 | $34.97 | $34.97 | RVU19B |
| 2019-01-01 | $34.97 | $34.97 | RVU19A |
| 2018-10-01 | Separate payment rules apply | Separate payment rules apply | RVU18D |
| 2018-07-01 | Separate payment rules apply | Separate payment rules apply | RVU18C |
| 2018-04-01 | Separate payment rules apply | Separate payment rules apply | RVU18B |
| 2018-01-01 | Separate payment rules apply | Separate payment rules apply | RVU18AR1 |
| 2017-10-01 | Separate payment rules apply | Separate payment rules apply | RVU17D |
| 2017-07-01 | Separate payment rules apply | Separate payment rules apply | RVU17C |
| 2017-04-01 | Separate payment rules apply | Separate payment rules apply | RVU17B |
| 2017-01-01 | Separate payment rules apply | Separate payment rules apply | RVU17A |
| 2016-10-01 | Separate payment rules apply | Separate payment rules apply | RVU16D |
| 2016-07-01 | Separate payment rules apply | Separate payment rules apply | RVU16C |
| 2016-04-01 | Separate payment rules apply | Separate payment rules apply | RVU16B |
| 2016-01-01 | Separate payment rules apply | Separate payment rules apply | RVU16A |
| 2015-10-01 | Separate payment rules apply | Separate payment rules apply | RVU15D |
| 2015-07-01 | Separate payment rules apply | Separate payment rules apply | RVU15C |
| 2015-04-01 | Separate payment rules apply | Separate payment rules apply | RVU15B |
| 2015-01-01 | Separate payment rules apply | Separate payment rules apply | RVU15A |
| 2014-10-01 | Separate payment rules apply | Separate payment rules apply | RVU14D |
| 2014-07-01 | Separate payment rules apply | Separate payment rules apply | RVU14C |
| 2014-04-01 | Separate payment rules apply | Separate payment rules apply | RVU14B |
| 2014-01-01 | Separate payment rules apply | Separate payment rules apply | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
99447 billing questions
How does 99447 differ from 99446 or 99448?
Select by documented medical consultative review and discussion time: 99447 is for 11–20 minutes. The neighboring codes represent shorter or longer time bands.
Does 99447 include the consultant’s report?
Yes. The service includes verbal and written feedback to the treating or requesting clinician; those reports are not separate 99447 services.
What time should the record support?
Document the medical consultative review and discussion time that supports the 11–20-minute band, along with the records reviewed and advice given.
When would 99451 be considered instead?
99451 is the related interprofessional consultation option when reporting the consultant’s medical consultative time with a written report under that code’s criteria. 99447 represents the 11–20-minute discussion-and-review band and includes verbal and written feedback.
Who reports 99447?
The consulting physician reports it for the requested assessment and advice. The treating clinician who requested the consultation does not report 99447 for making the request.
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
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