CPT code 99451: E-consult, written report, 5+ minutes2026 Medicare rate & RVUs in Wyoming

In Wyoming, Medicare pays $34.97 for 99451 in the office and $29.63 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99451 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 99451 covers

A treating physician or other qualified health care professional may request a specialist’s advice about a patient’s clinical question without arranging a patient visit with that specialist. The consultant reviews the relevant record and provides an assessment and recommendations in a written report. For example, a primary care physician might ask a cardiologist to review a patient’s symptoms and available cardiac test results and advise on next steps. The service is an exchange between professionals, not a face-to-face consultation with the patient.

Report 99451 when the consultative physician provides the written report and performs at least five minutes of medical consultative work. The record should identify the request and clinical question, information reviewed, consultant’s assessment and recommendations, written communication to the treating professional, and time spent. Document the patient’s consent to the interprofessional consultation. Distinguish this service from codes 99446–99449, which include verbal as well as written communication and use specific time intervals.

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 99451

Across 109 of 109 payment localities, the office rate for 99451 runs from $33.14 in Arkansas to $47.02 in Alaska. Wyoming pays $34.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99451 rates by state

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

See 99451 in every payment locality

How the 99451 rate is calculated

Each of 99451’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 99451

99451 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 99451

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

How 99451 has changed in Wyoming

Price 99451 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