CPT code 99464: Delivery attendance, initial newborn stabilization2026 Medicare rate & RVUs in Missouri
Report this service when a clinician attends a delivery at the delivering physician’s request and provides immediate assessment and stabilization of the newborn.
CMS doesn’t publish an office rate for 99464 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 99464 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $62.43 |
| Metropolitan St. Louis, MO | Unavailable | $62.64 |
| Rest of Missouri | Unavailable | $61.63 |
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.
How the rate is built · 99464
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense0.31
0.31 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
1.8900
Conversion factor
$33.4009
Medicare rate
$63.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 99464
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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99464 isn’t priced in this setting.
99464 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99465Newborn resuscitationBirthing-room active resuscitation
- 99464 covers requested attendance and initial stabilization. 99465 is for active resuscitation in the delivery or birthing room.
- 99460Newborn careInitial hospital day
- 99460 describes initial newborn evaluation and management in a hospital setting; 99464 describes attendance at delivery and immediate newborn stabilization.
- 99461Newborn careInitial, non-facility setting
- 99461 describes initial newborn evaluation and management in a non-facility setting, rather than attendance at the birth.
99464 billing questions
When should 99464 be selected instead of 99465?
Use 99464 for requested attendance and initial newborn assessment or stabilization. When active delivery-room resuscitation is performed, assess whether 99465 describes the service instead.
What documentation supports reporting 99464?
Record the delivering physician’s request, the reason for attendance, the newborn’s condition, the assessment and immediate support provided, and the handoff or disposition.
Can 99464 be reported with a newborn evaluation code?
A separate newborn evaluation, such as 99460 or 99461, describes care beyond delivery attendance. Document the distinct evaluation and services rather than relying only on the attendance record.
Does 99464 represent a timed service?
Documentation should describe the delivery attendance and newborn care performed, rather than relying on elapsed time.
Who must request the delivery attendance?
The service is for attendance requested by the delivering physician. Document the request and its clinical reason in the delivery record.
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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