CPT code 99462: Newborn care, subsequent hospital day2026 Medicare rate & RVUs in Ohio
Report this service for a physician or other qualified practitioner’s routine daily evaluation and management of a newborn continuing hospital nursery care.
In Ohio, Medicare pays $34.92 for 99462 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 99462 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99462 covers
This service covers a routine daily assessment and management of a newborn who remains in the hospital after the initial newborn-care day. A pediatrician, family physician, or other qualified practitioner may provide it while rounding in a well-baby nursery. The care can include assessing feeding, weight, elimination, jaundice, and general adaptation, and addressing routine concerns with the family and care team.
Select the code for a subsequent hospital day of routine newborn care, rather than the initial-care code or the code for a newborn admitted and discharged on the same date. The record should support the date of service, the newborn’s status and findings, and the assessment and management performed that day. CMS assigns work, practice-expense, and malpractice relative values to this physician service; Medicare payment is determined through the applicable fee schedule and claim processing.
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 Ohio compares for 99462
Across 109 of 109 payment localities, the facility rate for 99462 runs from $33.79 in Arkansas to $49.05 in Alaska. Ohio pays $34.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$34.92
- Los Angeles, CA · California$37.03+$2.11
- Washington, DC area · District of Columbia$38.12+$3.20
- Miami, FL · Florida$38.19+$3.27
- Chicago, IL · Illinois$37.79+$2.87
- Manhattan, NY · New York$39.10+$4.18
- Alaska · Alaska$49.05+$14.13
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $33.97 |
| ArkansasArkansas | — | $33.79 |
| ArizonaArizona | — | $34.99 |
| Bakersfield, CACalifornia | — | $35.83 |
| Chico, CACalifornia | — | $35.65 |
| El Centro, CACalifornia | — | $35.66 |
| Fresno, CACalifornia | — | $35.65 |
| Hanford, CACalifornia | — | $35.65 |
| Madera, CACalifornia | — | $35.65 |
| Merced, CACalifornia | — | $35.65 |
| Modesto, CACalifornia | — | $35.65 |
| Napa, CACalifornia | — | $38.16 |
| Oxnard, CACalifornia | — | $36.59 |
| Redding, CACalifornia | — | $35.65 |
| Rest of CaliforniaCalifornia | — | $35.65 |
| Riverside, CACalifornia | — | $36.21 |
| Sacramento, CACalifornia | — | $36.57 |
| Salinas, CACalifornia | — | $36.40 |
| San Diego, CACalifornia | — | $36.59 |
| Marin County, CACalifornia | — | $39.49 |
| San Francisco, CACalifornia | — | $39.44 |
| San Benito County, CACalifornia | — | $40.23 |
| Santa Clara County, CACalifornia | — | $39.99 |
| San Luis Obispo, CACalifornia | — | $35.90 |
| Santa Cruz, CACalifornia | — | $36.44 |
| Santa Maria, CACalifornia | — | $36.36 |
| Santa Rosa, CACalifornia | — | $36.77 |
| Stockton, CACalifornia | — | $35.65 |
| Vallejo, CACalifornia | — | $38.07 |
| Visalia, CACalifornia | — | $35.65 |
| Yuba City, CACalifornia | — | $35.65 |
| ColoradoColorado | — | $35.74 |
| ConnecticutConnecticut | — | $36.75 |
| DelawareDelaware | — | $35.31 |
| Fort Lauderdale, FLFlorida | — | $36.83 |
| Rest of FloridaFlorida | — | $36.00 |
| Atlanta, GAGeorgia | — | $35.92 |
| Rest of GeorgiaGeorgia | — | $35.11 |
| Hawaii, Guam, HIHawaii | — | $35.48 |
| IowaIowa | — | $33.92 |
| IdahoIdaho | — | $34.07 |
| East St. Louis, ILIllinois | — | $36.64 |
| Rest of IllinoisIllinois | — | $35.85 |
| Suburban Chicago, ILIllinois | — | $37.04 |
| IndianaIndiana | — | $34.13 |
| KansasKansas | — | $34.03 |
| KentuckyKentucky | — | $34.63 |
| New Orleans, LALouisiana | — | $35.30 |
| Rest of LouisianaLouisiana | — | $34.68 |
| Metropolitan Boston, MAMassachusetts | — | $37.47 |
| Rest of MassachusettsMassachusetts | — | $35.82 |
| Baltimore area, MDMaryland | — | $36.66 |
| Rest of MarylandMaryland | — | $35.62 |
| Rest of MaineMaine | — | $34.32 |
| Southern Maine, MEMaine | — | $34.74 |
| Detroit, MIMichigan | — | $36.35 |
| Rest of MichiganMichigan | — | $35.13 |
| MinnesotaMinnesota | — | $34.39 |
| Metropolitan Kansas City, MOMissouri | — | $35.02 |
| Metropolitan St. Louis, MOMissouri | — | $35.14 |
| Rest of MissouriMissouri | — | $34.58 |
| MississippiMississippi | — | $34.18 |
| MontanaMontana | — | $35.40 |
| North CarolinaNorth Carolina | — | $34.42 |
| North DakotaNorth Dakota | — | $34.41 |
| NebraskaNebraska | — | $33.93 |
| New HampshireNew Hampshire | — | $35.43 |
| Northern New JerseyNew Jersey | — | $38.19 |
| Rest of New JerseyNew Jersey | — | $37.21 |
| New MexicoNew Mexico | — | $35.27 |
| NevadaNevada | — | $35.13 |
| NYC suburbs and Long Island, NYNew York | — | $39.70 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $37.56 |
| Queens, NYNew York | — | $38.97 |
| Rest of New YorkNew York | — | $34.63 |
| OklahomaOklahoma | — | $34.42 |
| Portland, OROregon | — | $36.06 |
| Rest of OregonOregon | — | $34.89 |
| Metropolitan Philadelphia, PAPennsylvania | — | $36.47 |
| Rest of PennsylvaniaPennsylvania | — | $34.85 |
| Puerto RicoPuerto Rico | — | $35.44 |
| Rhode IslandRhode Island | — | $35.95 |
| South CarolinaSouth Carolina | — | $34.72 |
| South DakotaSouth Dakota | — | $34.30 |
| TennesseeTennessee | — | $34.12 |
| Austin, TXTexas | — | $35.60 |
| Beaumont, TXTexas | — | $34.78 |
| Brazoria, TXTexas | — | $35.21 |
| Dallas, TXTexas | — | $35.40 |
| Fort Worth, TXTexas | — | $35.36 |
| Galveston, TXTexas | — | $35.30 |
| Houston, TXTexas | — | $36.22 |
| Rest of TexasTexas | — | $34.95 |
| UtahUtah | — | $34.89 |
| VirginiaVirginia | — | $34.82 |
| Virgin Islands, VIUnited States Virgin Islands | — | $35.44 |
| VermontVermont | — | $34.52 |
| Rest of WashingtonWashington | — | $35.67 |
| King County, WAWashington | — | $37.79 |
| WisconsinWisconsin | — | $34.01 |
| West VirginiaWest Virginia | — | $35.38 |
| WyomingWyoming | — | $34.97 |
99462 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 99462 rate is calculated
Each of 99462’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 · 99462
RVUs × geographic indexes × conversion factor
Work0.84
0.84 RVUs× 1.000 GPCI
Practice expense0.17
0.17 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
1.0600
Conversion factor
$33.4009
Medicare rate
$35.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Ohio inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,129
- Code
- 99462
- Physician work
- 0.84
- Practice expense
- 0.17
- Malpractice
- 0.05
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.84 | × 1.000 | 0.8400 |
| Practice expense | 0.17 | × 0.913 | 0.1552 |
| Malpractice | 0.05 | × 1.008 | 0.0504 |
| Total RVUs | 1.0456 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$34.92
Facility: (0.84 × 1 + 0.17 × 0.913 + 0.05 × 1.008) × $33.4009 = $34.92
Payment rules and modifiers for 99462
99462 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 · 99462
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
99462 isn’t priced in this setting.
How 99462 has changed in Ohio
99462 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $34.92 | RVU26D |
| 2026-07-01 | Not available in this setting | $34.92 | RVU26C |
| 2026-04-01 | Not available in this setting | $34.92 | RVU26B |
| 2026-01-01 | Not available in this setting | $34.92 | RVU26A |
| 2025-10-01 | Not available in this setting | $37.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $37.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $37.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $37.68 | RVU25A |
| 2024-10-01 | Not available in this setting | $39.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $39.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $39.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $39.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $38.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $40.21 | RVU23D |
| 2023-07-01 | Not available in this setting | $40.21 | RVU23C |
| 2023-04-01 | Not available in this setting | $40.21 | RVU23B |
| 2023-01-01 | Not available in this setting | $40.21 | RVU23A |
| 2022-10-01 | Not available in this setting | $41.51 | RVU22D |
| 2022-07-01 | Not available in this setting | $41.51 | RVU22C |
| 2022-04-01 | Not available in this setting | $41.51 | RVU22B |
| 2022-01-01 | Not available in this setting | $41.51 | RVU22A |
| 2021-10-01 | Not available in this setting | $40.78 | RVU21D |
| 2021-07-01 | Not available in this setting | $40.78 | RVU21C |
| 2021-04-01 | Not available in this setting | $40.78 | RVU21B |
| 2021-01-01 | Not available in this setting | $40.78 | RVU21A |
| 2020-10-01 | Not available in this setting | $42.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $42.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $42.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $42.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $41.67 | RVU19D |
| 2019-07-01 | Not available in this setting | $41.67 | RVU19C |
| 2019-04-01 | Not available in this setting | $42.03 | RVU19B |
| 2019-01-01 | Not available in this setting | $42.03 | RVU19A |
| 2018-10-01 | Not available in this setting | $41.62 | RVU18D |
| 2018-07-01 | Not available in this setting | $41.62 | RVU18C |
| 2018-04-01 | Not available in this setting | $41.62 | RVU18B |
| 2018-01-01 | Not available in this setting | $41.62 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $44.13 | RVU17D |
| 2017-07-01 | Not available in this setting | $44.13 | RVU17C |
| 2017-04-01 | Not available in this setting | $44.13 | RVU17B |
| 2017-01-01 | Not available in this setting | $44.13 | RVU17A |
| 2016-10-01 | Not available in this setting | $41.39 | RVU16D |
| 2016-07-01 | Not available in this setting | $41.39 | RVU16C |
| 2016-04-01 | Not available in this setting | $41.39 | RVU16B |
| 2016-01-01 | Not available in this setting | $41.39 | RVU16A |
| 2015-10-01 | Not available in this setting | $41.18 | RVU15D |
| 2015-07-01 | Not available in this setting | $41.18 | RVU15C |
| 2015-04-01 | Not available in this setting | $40.97 | RVU15B |
| 2015-01-01 | Not available in this setting | $40.97 | RVU15A |
| 2014-10-01 | Not available in this setting | $41.68 | RVU14D |
| 2014-07-01 | Not available in this setting | $41.68 | RVU14C |
| 2014-04-01 | Not available in this setting | $41.68 | RVU14B |
| 2014-01-01 | Not available in this setting | $41.68 | RVU14A |
| 2013-10-01 | Not available in this setting | $40.15 | RVU13D |
| 2013-07-01 | Not available in this setting | $40.15 | RVU13C |
| 2013-04-01 | Not available in this setting | $40.15 | RVU13B |
| 2013-01-01 | Not available in this setting | $40.15 | RVU13AR |
Where the Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
99462 billing questions
When should I use this instead of 99460?
Use 99460 for the initial hospital care of a normal newborn. Use 99462 for routine newborn care on a subsequent hospital day.
How many units are reported for a hospital day?
The service is reported per day. Document the newborn’s care and management for the date billed.
Does this code describe same-day newborn admission and discharge?
No. Code 99463 is for the specific circumstance in which initial newborn care and discharge occur on the same date.
Can circumcision be reported with daily newborn care?
The daily evaluation and management are distinct from a separately performed circumcision. Report the procedure separately only when it was performed and the documentation and applicable claim edits support separate reporting.
When is a neonatal critical-care code more appropriate?
Use a neonatal critical-care service, such as 99468 or 99469, when the infant requires critical care rather than routine nursery management.
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
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