CPT code 99467: Critical care transport, each additional 30 minutes2026 Medicare rate & RVUs in Ohio

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.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Ohio, Medicare pays $99.85 for 99467 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$99.85Hospital or facility

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.

We’ll open 99467 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 99467 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 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 Ohio 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. Ohio pays $99.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

99467 in Ohio vs other payment areas
  1. Ohio · this page$99.85
  2. Los Angeles, CA · California$105.74+$5.89
  3. Washington, DC area · District of Columbia$108.95+$9.10
  4. Miami, FL · Florida$109.52+$9.67
  5. Chicago, IL · Illinois$108.33+$8.48
  6. Manhattan, NY · New York$111.87+$12.02
  7. Alaska · Alaska$140.08+$40.23

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

Every other payment area

99467 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
99467 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 99467 in every payment locality

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

Office or facility?

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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 99467 in Ohio
ComponentRVULocality factorAdjusted
Physician work2.40× 1.0002.4000
Practice expense0.48× 0.9130.4382
Malpractice0.15× 1.0080.1512
Total RVUs2.9894
Conversion factor× 33.4009

Facility rate, Ohio$99.85

Facility: (2.4 × 1 + 0.48 × 0.913 + 0.15 × 1.008) × $33.4009 = $99.85

Open 99467 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 99467 has changed in Ohio

99467 · 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$99.85RVU26D
2026-07-01Not available in this setting$99.85RVU26C
2026-04-01Not available in this setting$99.85RVU26B
2026-01-01Not available in this setting$99.85RVU26A
2025-10-01Not available in this setting$108.61RVU25D
2025-07-01Not available in this setting$108.61RVU25C
2025-04-01Not available in this setting$108.61RVU25B
2025-01-01Not available in this setting$108.61RVU25A
2024-10-01Not available in this setting$112.42RVU24D
2024-07-01Not available in this setting$112.42RVU24C
2024-04-01Not available in this setting$112.42RVU24B
2024-03-09Not available in this setting$112.42RVU24AR
2024-01-01Not available in this setting$110.59RVU24A
2023-10-01Not available in this setting$115.01RVU23D
2023-07-01Not available in this setting$115.01RVU23C
2023-04-01Not available in this setting$115.01RVU23B
2023-01-01Not available in this setting$115.01RVU23A
2022-10-01Not available in this setting$117.61RVU22D
2022-07-01Not available in this setting$117.61RVU22C
2022-04-01Not available in this setting$117.61RVU22B
2022-01-01Not available in this setting$117.61RVU22A
2021-10-01Not available in this setting$116.87RVU21D
2021-07-01Not available in this setting$116.87RVU21C
2021-04-01Not available in this setting$116.87RVU21B
2021-01-01Not available in this setting$116.87RVU21A
2020-10-01Not available in this setting$119.70RVU20D
2020-07-01Not available in this setting$119.70RVU20C
2020-04-01Not available in this setting$119.70RVU20B
2020-01-01Not available in this setting$119.70RVU20A
2019-10-01Not available in this setting$119.03RVU19D
2019-07-01Not available in this setting$119.03RVU19C
2019-04-01Not available in this setting$119.03RVU19B
2019-01-01Not available in this setting$119.03RVU19A
2018-10-01Not available in this setting$119.23RVU18D
2018-07-01Not available in this setting$119.23RVU18C
2018-04-01Not available in this setting$119.23RVU18B
2018-01-01Not available in this setting$119.23RVU18AR1
2017-10-01Not available in this setting$121.46RVU17D
2017-07-01Not available in this setting$121.46RVU17C
2017-04-01Not available in this setting$121.46RVU17B
2017-01-01Not available in this setting$121.46RVU17A
2016-10-01Not available in this setting$115.53RVU16D
2016-07-01Not available in this setting$115.53RVU16C
2016-04-01Not available in this setting$115.53RVU16B
2016-01-01Not available in this setting$115.53RVU16A
2015-10-01Not available in this setting$122.65RVU15D
2015-07-01Not available in this setting$122.65RVU15C
2015-04-01Not available in this setting$122.04RVU15B
2015-01-01Not available in this setting$122.04RVU15A
2014-10-01Not available in this setting$121.60RVU14D
2014-07-01Not available in this setting$121.60RVU14C
2014-04-01Not available in this setting$121.60RVU14B
2014-01-01Not available in this setting$121.60RVU14A
2013-10-01Not available in this setting$118.15RVU13D
2013-07-01Not available in this setting$118.15RVU13C
2013-04-01Not available in this setting$118.15RVU13B
2013-01-01Not available in this setting$118.15RVU13AR

Price 99467 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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
RVUs for 99467PPRRVU2026_Oct_nonQPP.csv, line 13,134 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 99467 pays in Ohio?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 99467 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist