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

In Colorado, Medicare pays $81.53 for 99460 in a facility. There’s no office rate.

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.

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 Colorado 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. Colorado pays $81.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99460 rates by state

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

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.

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.

Codes related to 99460

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

How 99460 has changed in Colorado

Price 99460 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

• 99460 in Acres Green
• 99460 in Aetna Estates
• 99460 in Aguilar
• 99460 in Air Force Academy
• 99460 in Akron
• 99460 in Alamosa
• 99460 in Alamosa East
• 99460 in Allenspark

Browse all communities in Colorado

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