CPT code 99460: Newborn care, initial hospital day2026 Medicare rate & RVUs in Arkansas

Initial hospital or birthing-center evaluation and management of a normal newborn, reported for the day the clinician begins routine inpatient newborn care.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Arkansas, Medicare pays $77.10 for 99460 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$77.10Hospital or facility

Check a contract rate as a % of Medicare · 99460 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 99460 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 99460 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 99460 covers

A physician or other qualified health professional reports this service for the initial evaluation and management of a normal newborn in a hospital or birthing center. The encounter typically includes review of pregnancy and delivery information, a newborn examination, assessment of the infant’s status, and a plan for routine care. Pediatricians, neonatologists, and family physicians commonly provide this care.

Select 99460 when the clinician provides the initial normal-newborn hospital or birthing-center care for that day. The record should support the newborn’s normal status and document the assessment and care plan. The code is reported per day, rather than by time spent. Use the subsequent-day newborn service when care continues on a later hospital day, or the same-day discharge service when the initial evaluation and discharge occur on the same date.

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 Arkansas compares for 99460

Across 109 of 109 payment localities, the facility rate for 99460 runs from $77.10 in Arkansas to $111.92 in Alaska. Arkansas pays $77.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

99460 in Arkansas vs other payment areas
  1. Arkansas · this page$77.10
  2. Los Angeles, CA · California$84.44+$7.34
  3. Washington, DC area · District of Columbia$87.01+$9.91
  4. Miami, FL · Florida$87.48+$10.38
  5. Chicago, IL · Illinois$86.53+$9.43
  6. Manhattan, NY · New York$89.34+$12.24
  7. Alaska · Alaska$111.92+$34.82

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

Every other payment area

99460 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$77.50
ArizonaArizona—$79.86
Bakersfield, CACalifornia—$81.70
Chico, CACalifornia—$81.28
El Centro, CACalifornia—$81.30
Fresno, CACalifornia—$81.28
Hanford, CACalifornia—$81.28
Madera, CACalifornia—$81.28

99460 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.

View every state and territory as a table
99460 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 99460 in every payment locality

How the 99460 rate is calculated

Each of 99460’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 · 99460

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.92

1.92 RVUs× 1.000 GPCI

Practice expense0.38

0.38 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

2.4200

Conversion factor

$33.4009

Medicare rate

$80.83

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,127

Code
99460
Physician work
1.92
Practice expense
0.38
Malpractice
0.12

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 99460 in Arkansas
ComponentRVULocality factorAdjusted
Physician work1.92× 1.0001.9200
Practice expense0.38× 0.8590.3264
Malpractice0.12× 0.5150.0618
Total RVUs2.3082
Conversion factor× 33.4009

Facility rate, Arkansas$77.10

Facility: (1.92 × 1 + 0.38 × 0.859 + 0.12 × 0.515) × $33.4009 = $77.10

Open 99460 in the RVU calculator

Payment rules and modifiers for 99460

99460 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 · 99460

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

99460 isn’t priced in this setting.

How 99460 has changed in Arkansas

99460 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$77.10RVU26D
2026-07-01Not available in this setting$77.10RVU26C
2026-04-01Not available in this setting$77.10RVU26B
2026-01-01Not available in this setting$77.10RVU26A
2025-10-01Not available in this setting$83.48RVU25D
2025-07-01Not available in this setting$83.48RVU25C
2025-04-01Not available in this setting$83.48RVU25B
2025-01-01Not available in this setting$83.48RVU25A
2024-10-01Not available in this setting$86.19RVU24D
2024-07-01Not available in this setting$86.19RVU24C
2024-04-01Not available in this setting$86.19RVU24B
2024-03-09Not available in this setting$86.19RVU24AR
2024-01-01Not available in this setting$84.79RVU24A
2023-10-01Not available in this setting$87.30RVU23D
2023-07-01Not available in this setting$87.30RVU23C
2023-04-01Not available in this setting$87.30RVU23B
2023-01-01Not available in this setting$87.30RVU23A
2022-10-01Not available in this setting$89.19RVU22D
2022-07-01Not available in this setting$89.19RVU22C
2022-04-01Not available in this setting$89.19RVU22B
2022-01-01Not available in this setting$89.19RVU22A
2021-10-01Not available in this setting$89.50RVU21D
2021-07-01Not available in this setting$89.50RVU21C
2021-04-01Not available in this setting$89.50RVU21B
2021-01-01Not available in this setting$89.50RVU21A
2020-10-01Not available in this setting$92.01RVU20D
2020-07-01Not available in this setting$92.01RVU20C
2020-04-01Not available in this setting$92.01RVU20B
2020-01-01Not available in this setting$92.01RVU20A
2019-10-01Not available in this setting$92.74RVU19D
2019-07-01Not available in this setting$92.74RVU19C
2019-04-01Not available in this setting$92.74RVU19B
2019-01-01Not available in this setting$92.74RVU19A
2018-10-01Not available in this setting$92.64RVU18D
2018-07-01Not available in this setting$92.64RVU18C
2018-04-01Not available in this setting$92.64RVU18B
2018-01-01Not available in this setting$92.64RVU18AR1
2017-10-01Not available in this setting$95.96RVU17D
2017-07-01Not available in this setting$95.96RVU17C
2017-04-01Not available in this setting$95.96RVU17B
2017-01-01Not available in this setting$95.96RVU17A
2016-10-01Not available in this setting$92.15RVU16D
2016-07-01Not available in this setting$92.15RVU16C
2016-04-01Not available in this setting$92.15RVU16B
2016-01-01Not available in this setting$92.15RVU16A
2015-10-01Not available in this setting$95.09RVU15D
2015-07-01Not available in this setting$95.09RVU15C
2015-04-01Not available in this setting$94.62RVU15B
2015-01-01Not available in this setting$94.62RVU15A
2014-10-01Not available in this setting$90.35RVU14D
2014-07-01Not available in this setting$90.35RVU14C
2014-04-01Not available in this setting$90.35RVU14B
2014-01-01Not available in this setting$90.35RVU14A
2013-10-01Not available in this setting$84.50RVU13D
2013-07-01Not available in this setting$84.50RVU13C
2013-04-01Not available in this setting$84.50RVU13B
2013-01-01Not available in this setting$84.50RVU13AR

Price 99460 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

99460 billing questions

How does 99460 differ from 99462?

99460 is for the initial normal-newborn hospital or birthing-center care on a day. 99462 is for subsequent-day care during the hospitalization.

When is 99463 used instead?

Use 99463 when the initial normal-newborn evaluation and discharge occur on the same date. 99460 is for initial care when the newborn remains under hospital or birthing-center care.

Is 99460 time based?

No. It is reported per day, not by minutes. The documentation should describe the evaluation and management provided that day.

Can 99460 be used for a newborn receiving critical care?

99460 describes care of a normal newborn. For a critically ill neonate receiving intensive care, select the applicable neonatal critical-care service, such as 99468 for initial-day care.

Does the code apply to newborn care outside a hospital or birthing center?

No. 99460 is for initial care in a hospital or birthing center. Initial normal-newborn care in another setting is represented by 99461.

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 99460PPRRVU2026_Oct_nonQPP.csv, line 13,127 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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