FeeBase
Log inGet started
Menu

CPT code 99449: Interprofessional consult, 31 minutes or more2026 Medicare rate & RVUs in King County, WA

Reports a consultant physician’s remote review, discussion, and written recommendations when requested by a treating clinician and the service takes at least 31 minutes.

CMS RVU26DEffective Oct 1, 2026One payment locality6K Medicare services in 2024

In King County, WA, Medicare pays $83.52 for 99449 in the office and $67.95 when it’s performed in a hospital or facility.

$83.52Office (non-facility)
$67.95Hospital or facility
+9.7%vs the national office rate ($76.15)

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.

We’ll open 99449 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 99449 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 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 King County, WA 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. King County, WA pays $83.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

99449 in King County, WA vs other payment areas
  1. King County, WA · this page$83.52
  2. Rest of Washington · Washington$77.15−$6.37
  3. Los Angeles, CA · California$81.37−$2.15
  4. Washington, DC area · District of Columbia$83.65+$0.13
  5. Miami, FL · Florida$83.32−$0.20
  6. Chicago, IL · Illinois$81.80−$1.72
  7. Manhattan, NY · New York$85.61+$2.09

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

Every other payment area

99449 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$99.39$85.87
AlabamaAlabama$71.24$60.14
ArkansasArkansas$70.63$59.73
ArizonaArizona$74.79$62.49
Bakersfield, CACalifornia$77.91$64.00
Chico, CACalifornia$77.53$63.62
El Centro, CACalifornia$77.55$63.64
Fresno, CACalifornia$77.53$63.62

99449 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$70.63

$99.39

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

View every state and territory as a table
99449 office rate range by state
State / territoryOffice rate rangeLocalities
AK$99.391
AL$71.241
AR$70.631
AZ$74.791
CA$77.53–$90.6629
CO$77.461
CT$79.891
DC$83.651
DE$75.681
FL$77.05–$83.323
GA$74.18–$77.512
GU$77.941
HI$77.941
IA$71.581
ID$72.011
IL$76.20–$81.804
IN$72.241
KS$71.731
KY$73.001
LA$73.07–$75.202
MA$77.43–$82.562
MD$76.60–$83.653
ME$72.61–$74.452
MI$74.46–$78.022
MN$74.071
MO$72.55–$74.943
MS$71.581
MT$76.151
NC$73.011
ND$73.771
NE$71.711
NH$76.691
NJ$80.75–$83.432
NM$74.851
NV$75.511
NY$73.69–$87.385
OH$73.981
OK$72.541
OR$74.86–$78.692
PA$73.85–$78.812
PR$76.371
RI$77.451
SC$73.621
SD$73.491
TN$71.991
TX$73.58–$77.868
UT$74.221
VA$74.54–$83.652
VI$76.371
VT$73.921
WA$77.15–$83.522
WI$72.311
WV$74.561
WY$75.111

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.

How the rate is built · 99449

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.40

1.40 RVUs× 1.000 GPCI

Practice expense0.76

0.76 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

2.2800

Conversion factor

$33.4009

Medicare rate

$76.15

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

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,116

Code
99449
Physician work
1.40
Practice expense
0.76
Malpractice
0.12

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 99449 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.40× 1.0501.4700
Practice expense0.76× 1.2270.9325
Malpractice0.12× 0.8170.0980
Total RVUs2.5006
Conversion factor× 33.4009

Office rate, King County, WA$83.52

Office: (1.4 × 1.05 + 0.76 × 1.227 + 0.12 × 0.817) × $33.4009 = $83.52

Facility: (1.4 × 1.05 + 0.38 × 1.227 + 0.12 × 0.817) × $33.4009 = $67.95

Open 99449 in the RVU calculator

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.

Place of service · 99449

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$76.15

Non-facility (office)
$76.15
Facility
$63.46

Higher because the practice carries its own overhead.

Codes related to 99449

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

Codes related to 99449
CodeHow it relatesOffice range, King County, WA
Same family
99446Consultation, 5–10 minutesSame interprofessional consultation family; covers the 5–10 minute time band.$20.74
99447Interprofessional consult, 11–20 minutesSame interprofessional consultation family; covers the 11–20 minute time band.$41.62
99448Interprofessional consultation, 21–30 minutesSame interprofessional consultation family; covers the 21–30 minute time band.$62.23
Used instead
99451E-consult, written report, 5+ minutesRelated remote consultation service with a written report and a different time threshold.$38.62
Often billed with
99452Referral coordination, requesting clinician, 30 minutesMay report the requesting clinician’s referral-preparation and communication work for the consultation.$40.67

How 99449 has changed in King County, WA

99449 · Office / nonfacility

$83.52

Effective 2026-10-01

The base rate is $8.12 higher than on 2025-10-01, moving from $75.40 to $83.52 (10.8%).

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

    $75.40changed to$83.52

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.63 changed to 0.76
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $76.91changed to$75.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.62 changed to 0.63
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $75.65changed to$76.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $77.28changed to$75.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.61 changed to 0.62
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $78.77changed to$77.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.62 changed to 0.61
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $78.17changed to$78.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.59 changed to 0.62

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $78.28changed to$78.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.54 changed to 0.59
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $76.80changed to$78.28

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 changed to 0.11
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$76.80

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$83.52$67.95RVU26D
2026-07-01$83.52$67.95RVU26C
2026-04-01$83.52$67.95RVU26B
2026-01-01$83.52$67.95RVU26A
2025-10-01$75.40$75.40RVU25D
2025-07-01$75.40$75.40RVU25C
2025-04-01$75.40$75.40RVU25B
2025-01-01$75.40$75.40RVU25A
2024-10-01$76.91$76.91RVU24D
2024-07-01$76.91$76.91RVU24C
2024-04-01$76.91$76.91RVU24B
2024-03-09$76.91$76.91RVU24AR
2024-01-01$75.65$75.65RVU24A
2023-10-01$77.28$77.28RVU23D
2023-07-01$77.28$77.28RVU23C
2023-04-01$77.28$77.28RVU23B
2023-01-01$77.28$77.28RVU23A
2022-10-01$78.77$78.77RVU22D
2022-07-01$78.77$78.77RVU22C
2022-04-01$78.77$78.77RVU22B
2022-01-01$78.77$78.77RVU22A
2021-10-01$78.17$78.17RVU21D
2021-07-01$78.17$78.17RVU21C
2021-04-01$78.17$78.17RVU21B
2021-01-01$78.17$78.17RVU21A
2020-10-01$78.28$78.28RVU20D
2020-07-01$78.28$78.28RVU20C
2020-04-01$78.28$78.28RVU20B
2020-01-01$78.28$78.28RVU20A
2019-10-01$76.80$76.80RVU19D
2019-07-01$76.80$76.80RVU19C
2019-04-01$76.80$76.80RVU19B
2019-01-01$76.80$76.80RVU19A
2018-10-01Separate payment rules applySeparate payment rules applyRVU18D
2018-07-01Separate payment rules applySeparate payment rules applyRVU18C
2018-04-01Separate payment rules applySeparate payment rules applyRVU18B
2018-01-01Separate payment rules applySeparate payment rules applyRVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Separate payment rules applySeparate payment rules applyRVU16D
2016-07-01Separate payment rules applySeparate payment rules applyRVU16C
2016-04-01Separate payment rules applySeparate payment rules applyRVU16B
2016-01-01Separate payment rules applySeparate payment rules applyRVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01Separate payment rules applySeparate payment rules applyRVU14D
2014-07-01Separate payment rules applySeparate payment rules applyRVU14C
2014-04-01Separate payment rules applySeparate payment rules applyRVU14B
2014-01-01Separate payment rules applySeparate payment rules applyRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 99449 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 99449 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

99449 billing questions

When should 99449 be selected instead of 99448?

Use 99449 when the consultant’s qualifying service reaches at least 31 minutes. Code 99448 is the 21–30 minute band.

Does 99449 require both a discussion and a written report?

Yes. The service includes communication of the consultant’s advice to the treating or requesting clinician and a written report.

Can the requesting clinician’s work be reported separately?

The requesting clinician’s referral preparation and communication work is separate from the consultant’s service. Code 99452 may apply when its requirements are met.

What documentation supports 99449?

Document who requested the consultation, the clinical question, records reviewed, the communication and recommendations, the written report, and the consultant’s time.

Can 99449 represent an in-person specialist evaluation?

No. It represents remote interprofessional assessment and communication, not the consultant’s face-to-face evaluation of the patient.

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 99449PPRRVU2026_Oct_nonQPP.csv, line 13,116 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 99449 pays in King County, WA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 99449 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist