FeeBase
Log inGet started
Menu

Billing code 99467: Critical care transportMedicare rate & RVUs

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, 2026109 payment localities

Medicare pays $101.20 for 99467 nationally in a facility.

Medicare rate · 99467

Critical care transport

Work RVUs
2.4
Total RVUs
3.03
Global days
ZZZ

National rate · 2026

$101.20

Facility setting, before claim adjustments.

See every locality for 99467 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 99467 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. 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.

Where 99467 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

99467 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$97.03
Alaska*Unavailable$140.08
ArizonaUnavailable$99.99
ArkansasUnavailable$96.51
AtlantaUnavailable$102.71
AustinUnavailable$101.72
BakersfieldUnavailable$102.31
Baltimore/Surr. CntysUnavailable$104.85
BeaumontUnavailable$99.41
BrazoriaUnavailable$100.60

99467 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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

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

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.

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

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.

99467 compared with similar codes

Compare codes · National

4 codes, side by side

  • 99467

    Critical care transport2.4 wRVU

    Not priced

  • 99466

    Critical care transport4.79 wRVU

    Not priced

  • 99471

    Pediatric critical care15.98 wRVU

    Not priced

  • 99472

    Pediatric critical care7.99 wRVU

    Not priced

How to choose

99466Critical care transport
99466 is the primary pediatric critical care transport service; 99467 reports additional 30-minute periods and is not billed alone.
99471Pediatric critical care
99471 describes initial inpatient pediatric critical care. Use 99467 for qualifying additional care provided during transport, not care after hospital arrival.
99472Pediatric critical care
99472 describes subsequent inpatient pediatric critical care; 99467 applies to additional face-to-face critical care during transport.

Codes related to 99467

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

Codes related to 99467
CodeHow it relatesNational office range
Add-on codes
99466Critical care transportPrimary pediatric critical care transport service with which 99467 is reported.No office rate
Used instead
99471Pediatric critical careInitial inpatient pediatric critical care, rather than face-to-face care during transport.No office rate
99472Pediatric critical careSubsequent inpatient pediatric critical care, rather than face-to-face care during transport.No office rate

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)

Open CMS sourceHow we calculate rates

Did this answer your question about what 99467 pays?

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

Fee sheets

Put 99467 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →