CPT code 99449: Interprofessional consult, 31 minutes or more2026 Medicare rate & RVUs in Napa, CA

In Napa, CA, Medicare pays $85.20 for 99449 in the office and $68.47 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99449 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 99449 covers

99449 captures a consultant physician’s substantial remote review and management input for a patient whose treating clinician requests specialty advice. The consultant reviews relevant records or test results, discusses findings and recommendations with the treating or requesting physician or other qualified health care professional, and sends a written report. A typical case is a primary care clinician seeking cardiology, neurology, infectious disease, or endocrinology guidance without arranging a face-to-face visit with the consultant.

Select 99449 when the consultant’s qualifying work totals at least 31 minutes; codes 99446–99448 cover shorter time bands. Document the request and clinical question, records reviewed, consult communication, recommendations and written report, and the consultant time supporting the threshold. The requesting clinician’s coordination work is distinct and may be reported with 99452 when its requirements are met. The CMS fee schedule values 99449 through work, practice-expense, and malpractice RVUs.

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 Napa, CA compares for 99449

Across 109 of 109 payment localities, the office rate for 99449 runs from $70.63 in Arkansas to $99.39 in Alaska. Napa, CA pays $85.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99449 rates by state

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

See 99449 in every payment locality

How the 99449 rate is calculated

Each of 99449’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 99449

99449 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 99449

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

How 99449 has changed in Napa, CA

Price 99449 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Napa
• American Canyon
• Angwin
• Calistoga
• Deer Park
• Moskowite Corner
• Oakville
• Rutherford

Browse all communities in California

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