CPT code 99466: Critical care transport, age 24 months or younger2026 Medicare rate & RVUs in New Mexico

Reports a clinician’s face-to-face critical care during transport of a critically ill or injured child age 24 months or younger.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $200.93 for 99466 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$200.93Hospital or facility

Check a contract rate as a % of Medicare · 99466 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99466 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 99466 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99466 covers

99466 covers face-to-face critical care provided by a physician or other qualified health care professional while a critically ill or injured child age 24 months or younger is being transported. A typical situation is an interfacility transfer for a child who needs ongoing intensive monitoring or treatment en route to a higher level of pediatric or neonatal care. The service is the clinician’s care during transport, not the ambulance trip itself.

Report 99466 for the first 30–74 minutes of clinical care during transport. For additional qualifying time, report 99467, the add-on code for each additional 30 minutes. Documentation should establish the child’s age and critical condition, the transport, the clinician’s face-to-face care, and the time spent providing it. The Medicare Physician Fee Schedule assigns work, practice-expense, and malpractice RVUs to this service; the applicable payment amount is displayed separately.

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 New Mexico compares for 99466

Across 109 of 109 payment localities, the facility rate for 99466 runs from $192.64 in Arkansas to $279.64 in Alaska. New Mexico pays $200.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

99466 in New Mexico vs other payment areas
  1. New Mexico · this page$200.93
  2. Los Angeles, CA · California$211.09+$10.16
  3. Washington, DC area · District of Columbia$217.20+$16.27
  4. Miami, FL · Florida$217.37+$16.44
  5. Chicago, IL · Illinois$215.13+$14.20
  6. Manhattan, NY · New York$222.71+$21.78
  7. Alaska · Alaska$279.64+$78.71

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

99466 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$193.63
ArkansasArkansas—$192.64
ArizonaArizona—$199.39
Bakersfield, CACalifornia—$204.23
Chico, CACalifornia—$203.23
El Centro, CACalifornia—$203.28
Fresno, CACalifornia—$203.23
Hanford, CACalifornia—$203.23

99466 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
99466 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 99466 in every payment locality

How the 99466 rate is calculated

Each of 99466’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 · 99466

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.79

4.79 RVUs× 1.000 GPCI

Practice expense0.97

0.97 RVUs× 1.000 GPCI

Malpractice0.28

0.28 RVUs× 1.000 GPCI

Adjusted RVUs

6.0400

Conversion factor

$33.4009

Medicare rate

$201.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,133

Code
99466
Physician work
4.79
Practice expense
0.97
Malpractice
0.28

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 99466 in New Mexico
ComponentRVULocality factorAdjusted
Physician work4.79× 1.0004.7900
Practice expense0.97× 0.9170.8895
Malpractice0.28× 1.2010.3363
Total RVUs6.0158
Conversion factor× 33.4009

Facility rate, New Mexico$200.93

Facility: (4.79 × 1 + 0.97 × 0.917 + 0.28 × 1.201) × $33.4009 = $200.93

Open 99466 in the RVU calculator

Payment rules and modifiers for 99466

99466 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 · 99466

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

99466 isn’t priced in this setting.

How 99466 has changed in New Mexico

99466 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$200.93RVU26D
2026-07-01Not available in this setting$200.93RVU26C
2026-04-01Not available in this setting$200.93RVU26B
2026-01-01Not available in this setting$200.93RVU26A
2025-10-01Not available in this setting$217.97RVU25D
2025-07-01Not available in this setting$217.97RVU25C
2025-04-01Not available in this setting$217.97RVU25B
2025-01-01Not available in this setting$217.97RVU25A
2024-10-01Not available in this setting$225.22RVU24D
2024-07-01Not available in this setting$225.22RVU24C
2024-04-01Not available in this setting$225.22RVU24B
2024-03-09Not available in this setting$225.22RVU24AR
2024-01-01Not available in this setting$221.54RVU24A
2023-10-01Not available in this setting$227.79RVU23D
2023-07-01Not available in this setting$227.79RVU23C
2023-04-01Not available in this setting$227.79RVU23B
2023-01-01Not available in this setting$227.79RVU23A
2022-10-01Not available in this setting$233.25RVU22D
2022-07-01Not available in this setting$233.25RVU22C
2022-04-01Not available in this setting$233.25RVU22B
2022-01-01Not available in this setting$233.25RVU22A
2021-10-01Not available in this setting$233.21RVU21D
2021-07-01Not available in this setting$233.21RVU21C
2021-04-01Not available in this setting$233.21RVU21B
2021-01-01Not available in this setting$233.21RVU21A
2020-10-01Not available in this setting$240.11RVU20D
2020-07-01Not available in this setting$240.11RVU20C
2020-04-01Not available in this setting$240.11RVU20B
2020-01-01Not available in this setting$240.11RVU20A
2019-10-01Not available in this setting$241.33RVU19D
2019-07-01Not available in this setting$241.33RVU19C
2019-04-01Not available in this setting$241.33RVU19B
2019-01-01Not available in this setting$241.33RVU19A
2018-10-01Not available in this setting$241.28RVU18D
2018-07-01Not available in this setting$241.28RVU18C
2018-04-01Not available in this setting$241.28RVU18B
2018-01-01Not available in this setting$241.28RVU18AR1
2017-10-01Not available in this setting$244.40RVU17D
2017-07-01Not available in this setting$244.40RVU17C
2017-04-01Not available in this setting$244.40RVU17B
2017-01-01Not available in this setting$244.40RVU17A
2016-10-01Not available in this setting$230.71RVU16D
2016-07-01Not available in this setting$230.71RVU16C
2016-04-01Not available in this setting$230.71RVU16B
2016-01-01Not available in this setting$230.71RVU16A
2015-10-01Not available in this setting$246.32RVU15D
2015-07-01Not available in this setting$246.32RVU15C
2015-04-01Not available in this setting$245.09RVU15B
2015-01-01Not available in this setting$245.09RVU15A
2014-10-01Not available in this setting$262.42RVU14D
2014-07-01Not available in this setting$262.42RVU14C
2014-04-01Not available in this setting$262.42RVU14B
2014-01-01Not available in this setting$262.42RVU14A
2013-10-01Not available in this setting$258.03RVU13D
2013-07-01Not available in this setting$258.03RVU13C
2013-04-01Not available in this setting$258.03RVU13B
2013-01-01Not available in this setting$258.03RVU13AR

Price 99466 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

99466 billing questions

When should 99466 be chosen over 99467?

99466 reports the first 30–74 minutes of face-to-face critical care during transport. Report 99467 for each additional 30 minutes.

Does 99466 include the ambulance charge?

No. It reports the clinician’s critical care during transport, not the vehicle or ambulance transportation service.

What time should the record support?

Document the time spent providing face-to-face clinical care during transport, along with the child’s critical condition and care provided en route.

Can 99466 be reported with critical care at the destination?

The transport service describes care during the trip; critical care furnished separately at the destination is a different service. Document the distinct care and its own time.

Does the patient’s age affect code selection?

Yes. 99466 is for transport critical care involving a child age 24 months or younger. The record should support the patient’s age.

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
RVUs for 99466PPRRVU2026_Oct_nonQPP.csv, line 13,133 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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