CPT code 99479: Neonatal intensive care, 1,500–2,500 grams2026 Medicare rate & RVUs in New Mexico

Report 99479 for a subsequent-day intensive-care evaluation and management service for an infant in the 1,500–2,500-gram weight band.

CMS RVU26DEffective Oct 1, 2026One payment locality72 Medicare services in 2024

In New Mexico, Medicare pays $104.83 for 99479 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$104.83Hospital or facility

Check a contract rate as a % of Medicare · 99479 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 99479 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 99479 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 99479 covers

99479 represents a subsequent-day intensive-care service for an infant in the 1,500–2,500-gram weight band. A neonatologist or other physician or qualified health professional manages the infant in a neonatal intensive-care setting, reassessing clinical status and directing ongoing care when the infant continues to need intensive services. It is distinct from routine newborn or nursery management and from the initial hospital-care service.

Select the code using the infant’s documented weight band and whether the service is subsequent rather than initial; 99478 and 99480 represent the adjacent lower and higher bands. Report it for the day of subsequent intensive care, not as a timed service. Documentation should support the infant’s weight, continued need for intensive care, the clinician’s assessment, and the management provided that day. CMS assigns work, practice-expense, and malpractice relative value units to this per-day service.

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 99479

Across 109 of 109 payment localities, the facility rate for 99479 runs from $100.43 in Arkansas to $145.80 in Alaska. New Mexico pays $104.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

99479 in New Mexico vs other payment areas
  1. New Mexico · this page$104.83
  2. Los Angeles, CA · California$110.01+$5.18
  3. Washington, DC area · District of Columbia$113.26+$8.43
  4. Miami, FL · Florida$113.56+$8.73
  5. Chicago, IL · Illinois$112.37+$7.54
  6. Manhattan, NY · New York$116.20+$11.37
  7. Alaska · Alaska$145.80+$40.97

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

Every other payment area

99479 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$100.95
ArkansasArkansas—$100.43
ArizonaArizona—$103.97
Bakersfield, CACalifornia—$106.44
Chico, CACalifornia—$105.91
El Centro, CACalifornia—$105.94
Fresno, CACalifornia—$105.91
Hanford, CACalifornia—$105.91

99479 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
99479 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 99479 in every payment locality

How the 99479 rate is calculated

Each of 99479’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 · 99479

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.50

2.50 RVUs× 1.000 GPCI

Practice expense0.50

0.50 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

3.1500

Conversion factor

$33.4009

Medicare rate

$105.21

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

13,146

Code
99479
Physician work
2.50
Practice expense
0.50
Malpractice
0.15

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 99479 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.50× 1.0002.5000
Practice expense0.50× 0.9170.4585
Malpractice0.15× 1.2010.1802
Total RVUs3.1386
Conversion factor× 33.4009

Facility rate, New Mexico$104.83

Facility: (2.5 × 1 + 0.5 × 0.917 + 0.15 × 1.201) × $33.4009 = $104.83

Open 99479 in the RVU calculator

Payment rules and modifiers for 99479

99479 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 · 99479

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

99479 isn’t priced in this setting.

How 99479 has changed in New Mexico

99479 · 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$104.83RVU26D
2026-07-01Not available in this setting$104.83RVU26C
2026-04-01Not available in this setting$104.83RVU26B
2026-01-01Not available in this setting$104.83RVU26A
2025-10-01Not available in this setting$113.37RVU25D
2025-07-01Not available in this setting$113.37RVU25C
2025-04-01Not available in this setting$113.37RVU25B
2025-01-01Not available in this setting$113.37RVU25A
2024-10-01Not available in this setting$117.66RVU24D
2024-07-01Not available in this setting$117.66RVU24C
2024-04-01Not available in this setting$117.66RVU24B
2024-03-09Not available in this setting$117.66RVU24AR
2024-01-01Not available in this setting$115.74RVU24A
2023-10-01Not available in this setting$119.66RVU23D
2023-07-01Not available in this setting$119.66RVU23C
2023-04-01Not available in this setting$119.66RVU23B
2023-01-01Not available in this setting$119.66RVU23A
2022-10-01Not available in this setting$122.62RVU22D
2022-07-01Not available in this setting$122.62RVU22C
2022-04-01Not available in this setting$122.62RVU22B
2022-01-01Not available in this setting$122.62RVU22A
2021-10-01Not available in this setting$121.57RVU21D
2021-07-01Not available in this setting$121.57RVU21C
2021-04-01Not available in this setting$121.57RVU21B
2021-01-01Not available in this setting$121.57RVU21A
2020-10-01Not available in this setting$125.38RVU20D
2020-07-01Not available in this setting$125.38RVU20C
2020-04-01Not available in this setting$125.38RVU20B
2020-01-01Not available in this setting$125.38RVU20A
2019-10-01Not available in this setting$125.83RVU19D
2019-07-01Not available in this setting$125.83RVU19C
2019-04-01Not available in this setting$125.83RVU19B
2019-01-01Not available in this setting$125.83RVU19A
2018-10-01Not available in this setting$125.70RVU18D
2018-07-01Not available in this setting$125.70RVU18C
2018-04-01Not available in this setting$125.70RVU18B
2018-01-01Not available in this setting$125.70RVU18AR1
2017-10-01Not available in this setting$125.36RVU17D
2017-07-01Not available in this setting$125.36RVU17C
2017-04-01Not available in this setting$125.36RVU17B
2017-01-01Not available in this setting$125.36RVU17A
2016-10-01Not available in this setting$124.46RVU16D
2016-07-01Not available in this setting$124.46RVU16C
2016-04-01Not available in this setting$124.46RVU16B
2016-01-01Not available in this setting$124.46RVU16A
2015-10-01Not available in this setting$124.49RVU15D
2015-07-01Not available in this setting$124.49RVU15C
2015-04-01Not available in this setting$123.87RVU15B
2015-01-01Not available in this setting$123.87RVU15A
2014-10-01Not available in this setting$123.31RVU14D
2014-07-01Not available in this setting$123.31RVU14C
2014-04-01Not available in this setting$123.31RVU14B
2014-01-01Not available in this setting$123.31RVU14A
2013-10-01Not available in this setting$121.96RVU13D
2013-07-01Not available in this setting$121.96RVU13C
2013-04-01Not available in this setting$121.96RVU13B
2013-01-01Not available in this setting$121.96RVU13AR

Price 99479 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

99479 billing questions

How does 99479 differ from 99478 and 99480?

These subsequent intensive-care codes distinguish infants by weight band. Use 99479 for the 1,500–2,500-gram band; 99478 and 99480 describe the neighboring lower and higher bands, respectively.

When is 99479 used instead of 99477?

99479 describes subsequent-day intensive care. 99477 is the initial hospital-care service for a newborn or infant requiring intensive observation, frequent interventions, and other intensive care services.

Is 99479 reported by time or by day?

It is a per-day service, not a timed code. The record should support the subsequent intensive-care management provided for that day.

What documentation supports 99479?

Document the infant’s weight, the ongoing need for intensive care, the daily clinical assessment, and the management directed by the reporting clinician.

How is 99479 distinguished from 99469?

99479 is a subsequent intensive-care service selected by infant weight band. 99469 describes subsequent neonatal critical care, a different service category for a critically ill neonate.

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 99479PPRRVU2026_Oct_nonQPP.csv, line 13,146 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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