CPT code 99465: Newborn resuscitation, birthing-room active resuscitation2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $123.23 for 99465 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 99465 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 99465 covers

CPT 99465 describes active resuscitation of a newborn in the delivery or birthing room, including measures such as positive-pressure ventilation or chest compressions. A physician or other qualified clinician with responsibility for newborn resuscitation may provide the service in a hospital delivery suite or birthing room. Endotracheal intubation and medication administration may be part of the resuscitation when clinically needed.

Select this code for the resuscitation service itself, not simply for being present at delivery or providing initial stabilization. The record should identify the resuscitative measures performed and the newborn’s condition and response. Distinguish this service from routine newborn hospital care or neonatal critical care based on the service delivered and its setting. Payment is valued under the physician fee schedule.

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 Delaware compares for 99465

Across 109 of 109 payment localities, the facility rate for 99465 runs from $117.89 in Arkansas to $171.10 in Alaska. Delaware pays $123.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99465 rates by state

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

See 99465 in every payment locality

How the 99465 rate is calculated

Each of 99465’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 99465

99465 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 99465

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

How 99465 has changed in Delaware

Price 99465 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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