CPT code 99462: Newborn care2026 Medicare rate & RVUs

Medicare pays $35.40 for 99462 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99462 covers

This service covers a routine daily assessment and management of a newborn who remains in the hospital after the initial newborn-care day. A pediatrician, family physician, or other qualified practitioner may provide it while rounding in a well-baby nursery. The care can include assessing feeding, weight, elimination, jaundice, and general adaptation, and addressing routine concerns with the family and care team.

Select the code for a subsequent hospital day of routine newborn care, rather than the initial-care code or the code for a newborn admitted and discharged on the same date. The record should support the date of service, the newborn’s status and findings, and the assessment and management performed that day. CMS assigns work, practice-expense, and malpractice relative values to this physician service; Medicare payment is determined through the applicable fee schedule and claim processing.

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.

Where 99462 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99462 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 99462 rate is calculated

Each of 99462’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.

Payment rules and modifiers for 99462

99462 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.

99462 compared with similar codes

How to choose

99460Newborn care

99460 describes initial hospital newborn care. Choose 99462 for routine care on a later hospital day.

99463Newborn care

99463 applies when the newborn is admitted and discharged on the same date; 99462 describes subsequent hospital-day care.

99469Neonatal critical care

99469 is subsequent neonatal critical care for a critically ill infant. 99462 is for routine newborn care in the hospital.

Codes related to 99462

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates