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.
In New Mexico, Medicare pays $104.83 for 99479 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- New Mexico · this page$104.83
- Los Angeles, CA · California$110.01+$5.18
- Washington, DC area · District of Columbia$113.26+$8.43
- Miami, FL · Florida$113.56+$8.73
- Chicago, IL · Illinois$112.37+$7.54
- Manhattan, NY · New York$116.20+$11.37
- Alaska · Alaska$145.80+$40.97
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $105.91 |
| Merced, CACalifornia | — | $105.91 |
| Modesto, CACalifornia | — | $105.91 |
| Napa, CACalifornia | — | $113.32 |
| Oxnard, CACalifornia | — | $108.70 |
| Redding, CACalifornia | — | $105.91 |
| Rest of CaliforniaCalifornia | — | $105.91 |
| Riverside, CACalifornia | — | $107.58 |
| Sacramento, CACalifornia | — | $108.62 |
| Salinas, CACalifornia | — | $108.13 |
| San Diego, CACalifornia | — | $108.70 |
| Marin County, CACalifornia | — | $117.28 |
| San Francisco, CACalifornia | — | $117.11 |
| San Benito County, CACalifornia | — | $119.45 |
| Santa Clara County, CACalifornia | — | $118.76 |
| San Luis Obispo, CACalifornia | — | $106.63 |
| Santa Cruz, CACalifornia | — | $108.23 |
| Santa Maria, CACalifornia | — | $108.00 |
| Santa Rosa, CACalifornia | — | $109.20 |
| Stockton, CACalifornia | — | $105.91 |
| Vallejo, CACalifornia | — | $113.07 |
| Visalia, CACalifornia | — | $105.91 |
| Yuba City, CACalifornia | — | $105.91 |
| ColoradoColorado | — | $106.19 |
| ConnecticutConnecticut | — | $109.22 |
| DelawareDelaware | — | $104.92 |
| Fort Lauderdale, FLFlorida | — | $109.48 |
| Rest of FloridaFlorida | — | $107.00 |
| Atlanta, GAGeorgia | — | $106.74 |
| Rest of GeorgiaGeorgia | — | $104.37 |
| Hawaii, Guam, HIHawaii | — | $105.39 |
| IowaIowa | — | $100.77 |
| IdahoIdaho | — | $101.24 |
| East St. Louis, ILIllinois | — | $108.96 |
| Rest of IllinoisIllinois | — | $106.58 |
| Suburban Chicago, ILIllinois | — | $110.12 |
| IndianaIndiana | — | $101.42 |
| KansasKansas | — | $101.12 |
| KentuckyKentucky | — | $102.93 |
| New Orleans, LALouisiana | — | $104.91 |
| Rest of LouisianaLouisiana | — | $103.08 |
| Metropolitan Boston, MAMassachusetts | — | $111.33 |
| Rest of MassachusettsMassachusetts | — | $106.42 |
| Baltimore area, MDMaryland | — | $108.96 |
| Rest of MarylandMaryland | — | $105.84 |
| Rest of MaineMaine | — | $101.98 |
| Southern Maine, MEMaine | — | $103.21 |
| Detroit, MIMichigan | — | $108.07 |
| Rest of MichiganMichigan | — | $104.41 |
| MinnesotaMinnesota | — | $102.17 |
| Metropolitan Kansas City, MOMissouri | — | $104.08 |
| Metropolitan St. Louis, MOMissouri | — | $104.42 |
| Rest of MissouriMissouri | — | $102.78 |
| MississippiMississippi | — | $101.58 |
| MontanaMontana | — | $105.20 |
| North CarolinaNorth Carolina | — | $102.29 |
| North DakotaNorth Dakota | — | $102.24 |
| NebraskaNebraska | — | $100.81 |
| New HampshireNew Hampshire | — | $105.27 |
| Northern New JerseyNew Jersey | — | $113.49 |
| Rest of New JerseyNew Jersey | — | $110.58 |
| NevadaNevada | — | $104.39 |
| NYC suburbs and Long Island, NYNew York | — | $118.01 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $111.61 |
| Queens, NYNew York | — | $115.81 |
| Rest of New YorkNew York | — | $102.89 |
| OhioOhio | — | $103.80 |
| OklahomaOklahoma | — | $102.31 |
| Portland, OROregon | — | $107.12 |
| Rest of OregonOregon | — | $103.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $108.37 |
| Rest of PennsylvaniaPennsylvania | — | $103.57 |
| Puerto RicoPuerto Rico | — | $105.32 |
| Rhode IslandRhode Island | — | $106.81 |
| South CarolinaSouth Carolina | — | $103.19 |
| South DakotaSouth Dakota | — | $101.89 |
| TennesseeTennessee | — | $101.37 |
| Austin, TXTexas | — | $105.78 |
| Beaumont, TXTexas | — | $103.35 |
| Brazoria, TXTexas | — | $104.63 |
| Dallas, TXTexas | — | $105.19 |
| Fort Worth, TXTexas | — | $105.08 |
| Galveston, TXTexas | — | $104.90 |
| Houston, TXTexas | — | $107.65 |
| Rest of TexasTexas | — | $103.88 |
| UtahUtah | — | $103.70 |
| VirginiaVirginia | — | $103.46 |
| Virgin Islands, VIUnited States Virgin Islands | — | $105.32 |
| VermontVermont | — | $102.57 |
| Rest of WashingtonWashington | — | $105.99 |
| King County, WAWashington | — | $112.26 |
| WisconsinWisconsin | — | $101.04 |
| West VirginiaWest Virginia | — | $105.18 |
| WyomingWyoming | — | $103.91 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.50 | × 1.000 | 2.5000 |
| Practice expense | 0.50 | × 0.917 | 0.4585 |
| Malpractice | 0.15 | × 1.201 | 0.1802 |
| Total RVUs | 3.1386 | ||
| 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
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.
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 | $104.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $104.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $104.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $104.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $113.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $113.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $113.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $113.37 | RVU25A |
| 2024-10-01 | Not available in this setting | $117.66 | RVU24D |
| 2024-07-01 | Not available in this setting | $117.66 | RVU24C |
| 2024-04-01 | Not available in this setting | $117.66 | RVU24B |
| 2024-03-09 | Not available in this setting | $117.66 | RVU24AR |
| 2024-01-01 | Not available in this setting | $115.74 | RVU24A |
| 2023-10-01 | Not available in this setting | $119.66 | RVU23D |
| 2023-07-01 | Not available in this setting | $119.66 | RVU23C |
| 2023-04-01 | Not available in this setting | $119.66 | RVU23B |
| 2023-01-01 | Not available in this setting | $119.66 | RVU23A |
| 2022-10-01 | Not available in this setting | $122.62 | RVU22D |
| 2022-07-01 | Not available in this setting | $122.62 | RVU22C |
| 2022-04-01 | Not available in this setting | $122.62 | RVU22B |
| 2022-01-01 | Not available in this setting | $122.62 | RVU22A |
| 2021-10-01 | Not available in this setting | $121.57 | RVU21D |
| 2021-07-01 | Not available in this setting | $121.57 | RVU21C |
| 2021-04-01 | Not available in this setting | $121.57 | RVU21B |
| 2021-01-01 | Not available in this setting | $121.57 | RVU21A |
| 2020-10-01 | Not available in this setting | $125.38 | RVU20D |
| 2020-07-01 | Not available in this setting | $125.38 | RVU20C |
| 2020-04-01 | Not available in this setting | $125.38 | RVU20B |
| 2020-01-01 | Not available in this setting | $125.38 | RVU20A |
| 2019-10-01 | Not available in this setting | $125.83 | RVU19D |
| 2019-07-01 | Not available in this setting | $125.83 | RVU19C |
| 2019-04-01 | Not available in this setting | $125.83 | RVU19B |
| 2019-01-01 | Not available in this setting | $125.83 | RVU19A |
| 2018-10-01 | Not available in this setting | $125.70 | RVU18D |
| 2018-07-01 | Not available in this setting | $125.70 | RVU18C |
| 2018-04-01 | Not available in this setting | $125.70 | RVU18B |
| 2018-01-01 | Not available in this setting | $125.70 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $125.36 | RVU17D |
| 2017-07-01 | Not available in this setting | $125.36 | RVU17C |
| 2017-04-01 | Not available in this setting | $125.36 | RVU17B |
| 2017-01-01 | Not available in this setting | $125.36 | RVU17A |
| 2016-10-01 | Not available in this setting | $124.46 | RVU16D |
| 2016-07-01 | Not available in this setting | $124.46 | RVU16C |
| 2016-04-01 | Not available in this setting | $124.46 | RVU16B |
| 2016-01-01 | Not available in this setting | $124.46 | RVU16A |
| 2015-10-01 | Not available in this setting | $124.49 | RVU15D |
| 2015-07-01 | Not available in this setting | $124.49 | RVU15C |
| 2015-04-01 | Not available in this setting | $123.87 | RVU15B |
| 2015-01-01 | Not available in this setting | $123.87 | RVU15A |
| 2014-10-01 | Not available in this setting | $123.31 | RVU14D |
| 2014-07-01 | Not available in this setting | $123.31 | RVU14C |
| 2014-04-01 | Not available in this setting | $123.31 | RVU14B |
| 2014-01-01 | Not available in this setting | $123.31 | RVU14A |
| 2013-10-01 | Not available in this setting | $121.96 | RVU13D |
| 2013-07-01 | Not available in this setting | $121.96 | RVU13C |
| 2013-04-01 | Not available in this setting | $121.96 | RVU13B |
| 2013-01-01 | Not available in this setting | $121.96 | RVU13AR |
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
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
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