CPT code 99467: Critical care transport, each additional 30 minutes2026 Medicare rate & RVUs in Connecticut
Report 99467 for each additional 30 minutes of face-to-face critical care transport for a critically ill or injured child age 24 months or younger.
In Connecticut, Medicare pays $105.09 for 99467 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 99467 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 99467 covers
This add-on represents additional face-to-face, hands-on critical care provided during ambulance transport of a critically ill or injured child age 24 months or younger. A physician or other qualified health care professional who accompanies the child and provides critical care during transport may report it. The service is distinct from critical care delivered after arrival at the receiving hospital; transport time alone does not establish the service.
Report 99467 with the primary pediatric critical care transport service, typically 99466, for each additional 30 minutes of qualifying care beyond the primary service. Document the child’s age and critical condition, the transport, the clinician’s direct care, and the time supporting each additional unit. CMS classifies 99467 as an add-on code: it must be billed with a primary procedure, and payment is within that procedure’s global period.
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 Connecticut compares for 99467
Across 109 of 109 payment localities, the facility rate for 99467 runs from $96.51 in Arkansas to $140.08 in Alaska. Connecticut pays $105.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$105.09
- Los Angeles, CA · California$105.74+$0.65
- Washington, DC area · District of Columbia$108.95+$3.86
- Miami, FL · Florida$109.52+$4.43
- Chicago, IL · Illinois$108.33+$3.24
- Manhattan, NY · New York$111.87+$6.78
- Alaska · Alaska$140.08+$34.99
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $97.03 |
| ArkansasArkansas | — | $96.51 |
| ArizonaArizona | — | $99.99 |
| Bakersfield, CACalifornia | — | $102.31 |
| Chico, CACalifornia | — | $101.78 |
| El Centro, CACalifornia | — | $101.81 |
| Fresno, CACalifornia | — | $101.78 |
| Hanford, CACalifornia | — | $101.78 |
| Madera, CACalifornia | — | $101.78 |
| Merced, CACalifornia | — | $101.78 |
| Modesto, CACalifornia | — | $101.78 |
| Napa, CACalifornia | — | $108.89 |
| Oxnard, CACalifornia | — | $104.48 |
| Redding, CACalifornia | — | $101.78 |
| Rest of CaliforniaCalifornia | — | $101.78 |
| Riverside, CACalifornia | — | $103.45 |
| Sacramento, CACalifornia | — | $104.38 |
| Salinas, CACalifornia | — | $103.91 |
| San Diego, CACalifornia | — | $104.46 |
| Marin County, CACalifornia | — | $112.68 |
| San Francisco, CACalifornia | — | $112.51 |
| San Benito County, CACalifornia | — | $114.78 |
| Santa Clara County, CACalifornia | — | $114.09 |
| San Luis Obispo, CACalifornia | — | $102.47 |
| Santa Cruz, CACalifornia | — | $104.01 |
| Santa Maria, CACalifornia | — | $103.79 |
| Santa Rosa, CACalifornia | — | $104.94 |
| Stockton, CACalifornia | — | $101.78 |
| Vallejo, CACalifornia | — | $108.64 |
| Visalia, CACalifornia | — | $101.78 |
| Yuba City, CACalifornia | — | $101.78 |
| ColoradoColorado | — | $102.10 |
| DelawareDelaware | — | $100.91 |
| Fort Lauderdale, FLFlorida | — | $105.46 |
| Rest of FloridaFlorida | — | $103.02 |
| Atlanta, GAGeorgia | — | $102.71 |
| Rest of GeorgiaGeorgia | — | $100.44 |
| Hawaii, Guam, HIHawaii | — | $101.29 |
| IowaIowa | — | $96.82 |
| IdahoIdaho | — | $97.28 |
| East St. Louis, ILIllinois | — | $105.00 |
| Rest of IllinoisIllinois | — | $102.63 |
| Suburban Chicago, ILIllinois | — | $106.07 |
| IndianaIndiana | — | $97.46 |
| KansasKansas | — | $97.18 |
| KentuckyKentucky | — | $99.00 |
| New Orleans, LALouisiana | — | $100.94 |
| Rest of LouisianaLouisiana | — | $99.15 |
| Metropolitan Boston, MAMassachusetts | — | $107.05 |
| Rest of MassachusettsMassachusetts | — | $102.32 |
| Baltimore area, MDMaryland | — | $104.85 |
| Rest of MarylandMaryland | — | $101.79 |
| Rest of MaineMaine | — | $98.03 |
| Southern Maine, MEMaine | — | $99.21 |
| Detroit, MIMichigan | — | $104.08 |
| Rest of MichiganMichigan | — | $100.46 |
| MinnesotaMinnesota | — | $98.14 |
| Metropolitan Kansas City, MOMissouri | — | $100.11 |
| Metropolitan St. Louis, MOMissouri | — | $100.45 |
| Rest of MissouriMissouri | — | $98.86 |
| MississippiMississippi | — | $97.67 |
| MontanaMontana | — | $101.19 |
| North CarolinaNorth Carolina | — | $98.32 |
| North DakotaNorth Dakota | — | $98.23 |
| NebraskaNebraska | — | $96.85 |
| New HampshireNew Hampshire | — | $101.24 |
| Northern New JerseyNew Jersey | — | $109.16 |
| Rest of New JerseyNew Jersey | — | $106.37 |
| New MexicoNew Mexico | — | $100.88 |
| NevadaNevada | — | $100.38 |
| NYC suburbs and Long Island, NYNew York | — | $113.66 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $107.39 |
| Queens, NYNew York | — | $111.47 |
| Rest of New YorkNew York | — | $98.92 |
| OhioOhio | — | $99.85 |
| OklahomaOklahoma | — | $98.37 |
| Portland, OROregon | — | $102.98 |
| Rest of OregonOregon | — | $99.65 |
| Metropolitan Philadelphia, PAPennsylvania | — | $104.27 |
| Rest of PennsylvaniaPennsylvania | — | $99.61 |
| Puerto RicoPuerto Rico | — | $101.31 |
| Rhode IslandRhode Island | — | $102.72 |
| South CarolinaSouth Carolina | — | $99.23 |
| South DakotaSouth Dakota | — | $97.88 |
| TennesseeTennessee | — | $97.43 |
| Austin, TXTexas | — | $101.72 |
| Beaumont, TXTexas | — | $99.41 |
| Brazoria, TXTexas | — | $100.60 |
| Dallas, TXTexas | — | $101.15 |
| Fort Worth, TXTexas | — | $101.06 |
| Galveston, TXTexas | — | $100.87 |
| Houston, TXTexas | — | $103.62 |
| Rest of TexasTexas | — | $99.90 |
| UtahUtah | — | $99.73 |
| VirginiaVirginia | — | $99.46 |
| Virgin Islands, VIUnited States Virgin Islands | — | $101.31 |
| VermontVermont | — | $98.57 |
| Rest of WashingtonWashington | — | $101.90 |
| King County, WAWashington | — | $107.94 |
| WisconsinWisconsin | — | $97.06 |
| West VirginiaWest Virginia | — | $101.26 |
| WyomingWyoming | — | $99.90 |
99467 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 99467 rate is calculated
Each of 99467’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 · 99467
RVUs × geographic indexes × conversion factor
Work2.40
2.40 RVUs× 1.000 GPCI
Practice expense0.48
0.48 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
3.0300
Conversion factor
$33.4009
Medicare rate
$101.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,134
- Code
- 99467
- Physician work
- 2.40
- Practice expense
- 0.48
- Malpractice
- 0.15
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.40 | × 1.020 | 2.4480 |
| Practice expense | 0.48 | × 1.077 | 0.5170 |
| Malpractice | 0.15 | × 1.210 | 0.1815 |
| Total RVUs | 3.1465 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$105.09
Facility: (2.4 × 1.02 + 0.48 × 1.077 + 0.15 × 1.21) × $33.4009 = $105.09
Payment rules and modifiers for 99467
The CMS indicators that decide how 99467 is paid alongside other services.
CMS payment indicators · 99467
Critical care transport, each additional 30 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 99467 has changed in Connecticut
99467 · 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 | $105.09 | RVU26D |
| 2026-07-01 | Not available in this setting | $105.09 | RVU26C |
| 2026-04-01 | Not available in this setting | $105.09 | RVU26B |
| 2026-01-01 | Not available in this setting | $105.09 | RVU26A |
| 2025-10-01 | Not available in this setting | $116.29 | RVU25D |
| 2025-07-01 | Not available in this setting | $116.29 | RVU25C |
| 2025-04-01 | Not available in this setting | $116.29 | RVU25B |
| 2025-01-01 | Not available in this setting | $116.29 | RVU25A |
| 2024-10-01 | Not available in this setting | $120.44 | RVU24D |
| 2024-07-01 | Not available in this setting | $120.44 | RVU24C |
| 2024-04-01 | Not available in this setting | $120.44 | RVU24B |
| 2024-03-09 | Not available in this setting | $120.44 | RVU24AR |
| 2024-01-01 | Not available in this setting | $118.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $123.16 | RVU23D |
| 2023-07-01 | Not available in this setting | $123.16 | RVU23C |
| 2023-04-01 | Not available in this setting | $123.16 | RVU23B |
| 2023-01-01 | Not available in this setting | $123.16 | RVU23A |
| 2022-10-01 | Not available in this setting | $125.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $125.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $125.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $125.93 | RVU22A |
| 2021-10-01 | Not available in this setting | $125.16 | RVU21D |
| 2021-07-01 | Not available in this setting | $125.16 | RVU21C |
| 2021-04-01 | Not available in this setting | $125.16 | RVU21B |
| 2021-01-01 | Not available in this setting | $125.16 | RVU21A |
| 2020-10-01 | Not available in this setting | $128.39 | RVU20D |
| 2020-07-01 | Not available in this setting | $128.39 | RVU20C |
| 2020-04-01 | Not available in this setting | $128.39 | RVU20B |
| 2020-01-01 | Not available in this setting | $128.39 | RVU20A |
| 2019-10-01 | Not available in this setting | $127.96 | RVU19D |
| 2019-07-01 | Not available in this setting | $127.96 | RVU19C |
| 2019-04-01 | Not available in this setting | $127.96 | RVU19B |
| 2019-01-01 | Not available in this setting | $127.96 | RVU19A |
| 2018-10-01 | Not available in this setting | $128.22 | RVU18D |
| 2018-07-01 | Not available in this setting | $128.22 | RVU18C |
| 2018-04-01 | Not available in this setting | $128.22 | RVU18B |
| 2018-01-01 | Not available in this setting | $128.22 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $131.24 | RVU17D |
| 2017-07-01 | Not available in this setting | $131.24 | RVU17C |
| 2017-04-01 | Not available in this setting | $131.24 | RVU17B |
| 2017-01-01 | Not available in this setting | $131.24 | RVU17A |
| 2016-10-01 | Not available in this setting | $124.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $124.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $124.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $124.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $132.90 | RVU15D |
| 2015-07-01 | Not available in this setting | $132.90 | RVU15C |
| 2015-04-01 | Not available in this setting | $132.23 | RVU15B |
| 2015-01-01 | Not available in this setting | $132.23 | RVU15A |
| 2014-10-01 | Not available in this setting | $130.56 | RVU14D |
| 2014-07-01 | Not available in this setting | $130.56 | RVU14C |
| 2014-04-01 | Not available in this setting | $130.56 | RVU14B |
| 2014-01-01 | Not available in this setting | $130.56 | RVU14A |
| 2013-10-01 | Not available in this setting | $126.13 | RVU13D |
| 2013-07-01 | Not available in this setting | $126.13 | RVU13C |
| 2013-04-01 | Not available in this setting | $126.13 | RVU13B |
| 2013-01-01 | Not available in this setting | $126.13 | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
99467 billing questions
When should 99467 be reported instead of 99466?
99466 represents the primary pediatric critical care transport service. Report 99467 for each additional 30 minutes of qualifying face-to-face care during that transport.
Can 99467 be billed by itself?
No. It is an add-on code and must be reported with a primary service, typically 99466.
Does ambulance travel time alone support 99467?
No. The documentation should support the clinician’s face-to-face, hands-on critical care during transport, as well as the time for each additional unit.
Is critical care after arrival included in 99467?
No. Care delivered after arrival is a separate service from critical care transport and is evaluated under the applicable hospital or critical care code.
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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