CPT code 99464: Delivery attendance, initial newborn stabilization2026 Medicare rate & RVUs in Colorado

In Colorado, Medicare pays $63.81 for 99464 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 99464 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 99464 covers

A pediatrician, neonatologist, or other clinician may be called to the birthing room when the delivering physician anticipates a newborn who may need immediate assessment or stabilization. The service covers presence at the delivery and initial care of the newborn, such as evaluating the infant’s condition and providing appropriate immediate support. The key circumstance is attendance requested by the delivering physician, not simply the clinician’s later examination of the newborn.

Document who requested attendance, why the clinician was called, the newborn’s condition at birth, the assessment and stabilization performed, and the disposition or handoff. Distinguish this service from active delivery-room resuscitation, which is addressed by 99465, and from a separate newborn evaluation after birth, such as 99460 or 99461. The CMS physician fee schedule valuation uses work, practice-expense, and malpractice RVUs; CMS lists the same practice-expense RVU for office and facility settings.

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 99464

Across 109 of 109 payment localities, the facility rate for 99464 runs from $60.37 in Arkansas to $87.65 in Alaska. Colorado pays $63.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99464 rates by state

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

See 99464 in every payment locality

How the 99464 rate is calculated

Each of 99464’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 99464

99464 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 99464

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

How 99464 has changed in Colorado

Price 99464 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.

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