CPT code 99459: Pelvic exam, add-on service2026 Medicare rate & RVUs in Alaska

In Alaska, Medicare pays $18.50 for 99459 in the office.

Check a contract rate as a % of Medicare · 99459 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 99459 covers

Code 99459 captures a pelvic examination, such as examination with a speculum and bimanual assessment, performed during a qualifying visit. It is commonly used by gynecologists, primary care clinicians, and other practitioners who assess pelvic or reproductive health in office and outpatient settings. The examination may occur during a problem-oriented visit or a preventive visit when the clinician performs and documents it.

Report 99459 only with an eligible primary service, including applicable office or outpatient E/M and preventive medicine services. The record should identify the examination performed and support the primary service billed; the add-on is not a stand-alone visit or a time-based service. CMS pays it within the primary procedure’s global-period framework. The code has practice-expense value but no physician-work or malpractice value.

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 Alaska compares for 99459

Across 109 of 109 payment localities, the office rate for 99459 runs from $14.92 in Arkansas to $25.05 in Santa Clara County, CA. Alaska pays $18.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99459 rates by state

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

See 99459 in every payment locality

How the 99459 rate is calculated

Each of 99459’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 99459

The CMS indicators that decide how 99459 is paid alongside other services.

Codes related to 99459

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

How 99459 has changed in Alaska

Price 99459 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

• Adak
• Akhiok
• Akiachak
• Akiak
• Akutan
• Alakanuk
• Alatna
• Alcan Border

Browse all communities in Alaska

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