CPT code 99480: Infant intensive care, 2,501–5,000 grams2026 Medicare rate & RVUs in New Mexico
Reports a subsequent hospital day of intensive evaluation and management for an infant in the 2,501–5,000-gram weight band who continues to need intensive care.
In New Mexico, Medicare pays $100.88 for 99480 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 99480 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 99480 covers
99480 represents a subsequent hospital day of intensive evaluation and management for an infant in the 2,501–5,000-gram weight band. Neonatologists and pediatricians commonly report it in a neonatal or pediatric intensive care setting when the infant still needs close monitoring and active management, such as ongoing respiratory support, apnea surveillance, or feeding advancement after prematurity or neonatal illness.
Use this code for a subsequent day rather than the initial hospital-care service, and select the weight band using the infant’s documented weight. The record should support continued intensive-care needs and show the practitioner’s assessment, management, and relevant interventions for that date. A routine nursery visit or uncomplicated daily check does not, by itself, describe the intensive-care service represented by this code.
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 99480
Across 109 of 109 payment localities, the facility rate for 99480 runs from $96.51 in Arkansas to $140.08 in Alaska. New Mexico pays $100.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$100.88
- Los Angeles, CA · California$105.74+$4.86
- Washington, DC area · District of Columbia$108.95+$8.07
- Miami, FL · Florida$109.52+$8.64
- Chicago, IL · Illinois$108.33+$7.45
- Manhattan, NY · New York$111.87+$10.99
- Alaska · Alaska$140.08+$39.20
Other areas in New Mexico 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 |
| ConnecticutConnecticut | — | $105.09 |
| 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 |
| 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 |
99480 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 99480 rate is calculated
Each of 99480’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 · 99480
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 New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,147
- Code
- 99480
- Physician work
- 2.40
- Practice expense
- 0.48
- 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 | 2.40 | × 1.000 | 2.4000 |
| Practice expense | 0.48 | × 0.917 | 0.4402 |
| Malpractice | 0.15 | × 1.201 | 0.1802 |
| Total RVUs | 3.0203 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$100.88
Facility: (2.4 × 1 + 0.48 × 0.917 + 0.15 × 1.201) × $33.4009 = $100.88
Payment rules and modifiers for 99480
99480 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 · 99480
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
99480 isn’t priced in this setting.
How 99480 has changed in New Mexico
99480 · 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 | $100.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $100.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $100.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $100.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $109.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $109.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $109.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $109.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $113.12 | RVU24D |
| 2024-07-01 | Not available in this setting | $113.12 | RVU24C |
| 2024-04-01 | Not available in this setting | $113.12 | RVU24B |
| 2024-03-09 | Not available in this setting | $113.12 | RVU24AR |
| 2024-01-01 | Not available in this setting | $111.27 | RVU24A |
| 2023-10-01 | Not available in this setting | $115.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $115.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $115.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $115.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $117.51 | RVU22D |
| 2022-07-01 | Not available in this setting | $117.51 | RVU22C |
| 2022-04-01 | Not available in this setting | $117.51 | RVU22B |
| 2022-01-01 | Not available in this setting | $117.51 | RVU22A |
| 2021-10-01 | Not available in this setting | $116.73 | RVU21D |
| 2021-07-01 | Not available in this setting | $116.73 | RVU21C |
| 2021-04-01 | Not available in this setting | $116.73 | RVU21B |
| 2021-01-01 | Not available in this setting | $116.73 | RVU21A |
| 2020-10-01 | Not available in this setting | $120.35 | RVU20D |
| 2020-07-01 | Not available in this setting | $120.35 | RVU20C |
| 2020-04-01 | Not available in this setting | $120.35 | RVU20B |
| 2020-01-01 | Not available in this setting | $120.35 | RVU20A |
| 2019-10-01 | Not available in this setting | $120.45 | RVU19D |
| 2019-07-01 | Not available in this setting | $120.45 | RVU19C |
| 2019-04-01 | Not available in this setting | $120.45 | RVU19B |
| 2019-01-01 | Not available in this setting | $120.45 | RVU19A |
| 2018-10-01 | Not available in this setting | $120.98 | RVU18D |
| 2018-07-01 | Not available in this setting | $120.98 | RVU18C |
| 2018-04-01 | Not available in this setting | $120.98 | RVU18B |
| 2018-01-01 | Not available in this setting | $120.98 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $121.11 | RVU17D |
| 2017-07-01 | Not available in this setting | $121.11 | RVU17C |
| 2017-04-01 | Not available in this setting | $121.11 | RVU17B |
| 2017-01-01 | Not available in this setting | $121.11 | RVU17A |
| 2016-10-01 | Not available in this setting | $119.15 | RVU16D |
| 2016-07-01 | Not available in this setting | $119.15 | RVU16C |
| 2016-04-01 | Not available in this setting | $119.15 | RVU16B |
| 2016-01-01 | Not available in this setting | $119.15 | RVU16A |
| 2015-10-01 | Not available in this setting | $119.58 | RVU15D |
| 2015-07-01 | Not available in this setting | $119.58 | RVU15C |
| 2015-04-01 | Not available in this setting | $118.98 | RVU15B |
| 2015-01-01 | Not available in this setting | $118.98 | RVU15A |
| 2014-10-01 | Not available in this setting | $118.74 | RVU14D |
| 2014-07-01 | Not available in this setting | $118.74 | RVU14C |
| 2014-04-01 | Not available in this setting | $118.74 | RVU14B |
| 2014-01-01 | Not available in this setting | $118.74 | RVU14A |
| 2013-10-01 | Not available in this setting | $114.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $114.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $114.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $114.20 | 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
99480 billing questions
How is 99480 distinguished from 99479?
Both report subsequent intensive care by infant weight band. Use 99480 for the 2,501–5,000-gram band and 99479 for the 1,500–2,500-gram band.
Is 99480 reported for the initial hospital-care day?
No. It represents a subsequent day; 99477 is the related initial hospital-care service for a neonate requiring intensive observation and management.
Is 99480 billed by the day or by time?
It is a daily service. The documentation should support the infant’s need for intensive care and the practitioner’s management on the date reported.
How does 99480 differ from 99469?
99480 identifies subsequent intensive care within a weight band. 99469 is for subsequent neonatal critical care when the neonate is critically ill or injured.
What weight documentation supports 99480?
Document the infant’s weight used to select the 2,501–5,000-gram band, along with the clinical findings, ongoing care needs, and management for that day.
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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