No office rate
99460 reports initial hospital or birthing-center care without the same-day admission-and-discharge circumstance that defines 99463.
On this page
CMS RVU26D · Effective 2026-10-01
99463 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$95.63
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Newborn care
About 99463: Same-day newborn hospital care
Reports hospital or birthing-center evaluation and management for a normal newborn whose admission and discharge occur on the same date.
This service covers the same-day hospital or birthing-center care of a normal newborn, including the initial evaluation and management and the discharge-related care. It is typically performed by a physician or other qualified clinician responsible for the newborn’s care during the stay. The code is specific to a newborn admitted and discharged on the same calendar date; it is not the selection for a newborn who remains admitted for a later date.
Report one same-day episode for the infant rather than separate newborn-care entries for admission and discharge. Documentation should support the newborn’s normal status, the initial assessment and management, and the same-date admission and discharge. The CMS physician fee schedule assigns physician-work and practice-expense values to this service. Choose among newborn-care codes according to the care setting, whether the service is initial or subsequent, and whether discharge occurs that day.
Where the value comes from
- Work RVU2.13 · 75%
- Practice expense (office) RVU0.58 · 20%
- Malpractice RVU0.13 · 5%
33
Medicare services in 2024 · #5607 by national volume
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.
99463 compared with similar codes
Office rates for Austin, from the same CMS release.
$96.54
99461 is for initial newborn care outside a hospital or birthing center; 99463 is for the same-day episode in a hospital or birthing center.
No office rate
99462 applies to subsequent daily care when the newborn remains admitted. 99463 covers initial and discharge-related care when both occur on the same date.
The same code, a different location
How does Austin compare?
99463 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 99463
Office
Unavailable
Facility
$93.45
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 99463
Office
Unavailable
Facility
$99.86
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 99463
Office
Unavailable
Facility
$102.64
No comparable office rate is available.
Miami
Florida · 99463
Office
Unavailable
Facility
$102.29
No comparable office rate is available.
Chicago
Illinois · 99463
Office
Unavailable
Facility
$101.08
No comparable office rate is available.
Manhattan
New York · 99463
Office
Unavailable
Facility
$105.09
No comparable office rate is available.
Alaska*
Alaska · 99463
Office
Unavailable
Facility
$129.74
No comparable office rate is available.
Alabama
Alabama · 99463
Office
Unavailable
Facility
$90.55
No comparable office rate is available.
Arkansas
Arkansas · 99463
Office
Unavailable
Facility
$90.02
No comparable office rate is available.
Arizona
Arizona · 99463
Office
Unavailable
Facility
$93.63
No comparable office rate is available.
Bakersfield
California · 99463
Office
Unavailable
Facility
$96.37
No comparable office rate is available.
Chico
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
El Centro
California · 99463
Office
Unavailable
Facility
$95.93
No comparable office rate is available.
Fresno
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Hanford-Corcoran
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Madera
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Merced
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Modesto
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Napa
California · 99463
Office
Unavailable
Facility
$103.36
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 99463
Office
Unavailable
Facility
$98.74
No comparable office rate is available.
Redding
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Rest Of California
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 99463
Office
Unavailable
Facility
$97.36
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 99463
Office
Unavailable
Facility
$98.56
No comparable office rate is available.
Salinas
California · 99463
Office
Unavailable
Facility
$98.13
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 99463
Office
Unavailable
Facility
$98.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 99463
Office
Unavailable
Facility
$107.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 99463
Office
Unavailable
Facility
$107.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 99463
Office
Unavailable
Facility
$109.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 99463
Office
Unavailable
Facility
$108.63
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 99463
Office
Unavailable
Facility
$96.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 99463
Office
Unavailable
Facility
$98.50
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 99463
Office
Unavailable
Facility
$98.05
No comparable office rate is available.
Santa Rosa-Petaluma
California · 99463
Office
Unavailable
Facility
$99.40
No comparable office rate is available.
Stockton
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Vallejo
California · 99463
Office
Unavailable
Facility
$103.15
No comparable office rate is available.
Visalia
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Yuba City
California · 99463
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Colorado
Colorado · 99463
Office
Unavailable
Facility
$96.00
No comparable office rate is available.
Connecticut
Connecticut · 99463
Office
Unavailable
Facility
$98.68
No comparable office rate is available.
Delaware
Delaware · 99463
Office
Unavailable
Facility
$94.54
No comparable office rate is available.
Fort Lauderdale
Florida · 99463
Office
Unavailable
Facility
$98.62
No comparable office rate is available.
Rest Of Florida
Florida · 99463
Office
Unavailable
Facility
$96.19
No comparable office rate is available.
Atlanta
Georgia · 99463
Office
Unavailable
Facility
$96.25
No comparable office rate is available.
Rest Of Georgia
Georgia · 99463
Office
Unavailable
Facility
$93.60
No comparable office rate is available.
Hawaii, Guam
Hawaii · 99463
Office
Unavailable
Facility
$95.68
No comparable office rate is available.
Iowa
Iowa · 99463
Office
Unavailable
Facility
$90.59
No comparable office rate is available.
Idaho
Idaho · 99463
Office
Unavailable
Facility
$91.02
No comparable office rate is available.
East St. Louis
Illinois · 99463
Office
Unavailable
Facility
$97.71
No comparable office rate is available.
Rest Of Illinois
Illinois · 99463
Office
Unavailable
Facility
$95.62
No comparable office rate is available.
Suburban Chicago
Illinois · 99463
Office
Unavailable
Facility
$99.23
No comparable office rate is available.
Indiana
Indiana · 99463
Office
Unavailable
Facility
$91.21
No comparable office rate is available.
Kansas
Kansas · 99463
Office
Unavailable
Facility
$90.85
No comparable office rate is available.
Kentucky
Kentucky · 99463
Office
Unavailable
Facility
$92.34
No comparable office rate is available.
New Orleans
Louisiana · 99463
Office
Unavailable
Facility
$94.31
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 99463
Office
Unavailable
Facility
$92.45
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 99463
Office
Unavailable
Facility
$101.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 99463
Office
Unavailable
Facility
$96.14
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 99463
Office
Unavailable
Facility
$98.44
No comparable office rate is available.
Rest Of Maryland
Maryland · 99463
Office
Unavailable
Facility
$95.45
No comparable office rate is available.
Rest Of Maine
Maine · 99463
Office
Unavailable
Facility
$91.67
No comparable office rate is available.
Southern Maine
Maine · 99463
Office
Unavailable
Facility
$93.08
No comparable office rate is available.
Detroit
Michigan · 99463
Office
Unavailable
Facility
$97.16
No comparable office rate is available.
Rest Of Michigan
Michigan · 99463
Office
Unavailable
Facility
$93.73
No comparable office rate is available.
Minnesota
Minnesota · 99463
Office
Unavailable
Facility
$92.36
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 99463
Office
Unavailable
Facility
$93.58
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 99463
Office
Unavailable
Facility
$93.94
No comparable office rate is available.
Rest Of Missouri
Missouri · 99463
Office
Unavailable
Facility
$92.07
No comparable office rate is available.
Mississippi
Mississippi · 99463
Office
Unavailable
Facility
$91.03
No comparable office rate is available.
Montana**
Montana · 99463
Office
Unavailable
Facility
$94.85
No comparable office rate is available.
North Carolina
North Carolina · 99463
Office
Unavailable
Facility
$91.99
No comparable office rate is available.
North Dakota**
North Dakota · 99463
Office
Unavailable
Facility
$92.28
No comparable office rate is available.
Nebraska
Nebraska · 99463
Office
Unavailable
Facility
$90.67
No comparable office rate is available.
New Hampshire
New Hampshire · 99463
Office
Unavailable
Facility
$95.11
No comparable office rate is available.
Northern Nj
New Jersey · 99463
Office
Unavailable
Facility
$102.74
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 99463
Office
Unavailable
Facility
$99.91
No comparable office rate is available.
New Mexico
New Mexico · 99463
Office
Unavailable
Facility
$94.12
No comparable office rate is available.
Nevada**
Nevada · 99463
Office
Unavailable
Facility
$94.15
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 99463
Office
Unavailable
Facility
$106.79
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 99463
Office
Unavailable
Facility
$100.81
No comparable office rate is available.
Queens
New York · 99463
Office
Unavailable
Facility
$104.86
No comparable office rate is available.
Rest Of New York
New York · 99463
Office
Unavailable
Facility
$92.60
No comparable office rate is available.
Ohio
Ohio · 99463
Office
Unavailable
Facility
$93.21
No comparable office rate is available.
Oklahoma
Oklahoma · 99463
Office
Unavailable
Facility
$91.82
No comparable office rate is available.
Portland
Oregon · 99463
Office
Unavailable
Facility
$97.04
No comparable office rate is available.
Rest Of Oregon
Oregon · 99463
Office
Unavailable
Facility
$93.49
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 99463
Office
Unavailable
Facility
$97.77
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 99463
Office
Unavailable
Facility
$93.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 99463
Office
Unavailable
Facility
$95.01
No comparable office rate is available.
Rhode Island
Rhode Island · 99463
Office
Unavailable
Facility
$96.38
No comparable office rate is available.
South Carolina
South Carolina · 99463
Office
Unavailable
Facility
$92.73
No comparable office rate is available.
South Dakota**
South Dakota · 99463
Office
Unavailable
Facility
$91.98
No comparable office rate is available.
Tennessee
Tennessee · 99463
Office
Unavailable
Facility
$91.09
No comparable office rate is available.
Utah
Utah · 99463
Office
Unavailable
Facility
$93.25
No comparable office rate is available.
Virginia
Virginia · 99463
Office
Unavailable
Facility
$93.25
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 99463
Office
Unavailable
Facility
$95.01
No comparable office rate is available.
Vermont
Vermont · 99463
Office
Unavailable
Facility
$92.52
No comparable office rate is available.
Rest Of Washington
Washington · 99463
Office
Unavailable
Facility
$95.77
No comparable office rate is available.
Seattle (King Cnty)
Washington · 99463
Office
Unavailable
Facility
$102.02
No comparable office rate is available.
Wisconsin
Wisconsin · 99463
Office
Unavailable
Facility
$91.04
No comparable office rate is available.
West Virginia
West Virginia · 99463
Office
Unavailable
Facility
$94.19
No comparable office rate is available.
Wyoming**
Wyoming · 99463
Office
Unavailable
Facility
$93.73
No comparable office rate is available.
See how rates vary across the country
99463 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 99463 in Austin
Multiple payment areas
- 99463 in Barton Creek
- 99463 in Bee Cave
- 99463 in Briarcliff
- 99463 in Cedar Park
Multiple payment areas
- 99463 in Creedmoor
Multiple payment areas
- 99463 in Elgin
Multiple payment areas
- 99463 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 99463 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$105.19
$95.63 × 110% = $105.19
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99463 in Austin.
PPRRVU2026_Oct_nonQPP.csv
13,130
- Code
- 99463
- Physician work
- 2.13
- Practice expense
- 0.58
- Malpractice
- 0.13
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.13 | × 1.002 | 2.1343 |
| Practice expense | 0.58 | × 1.058 | 0.6136 |
| Malpractice | 0.13 | × 0.886 | 0.1152 |
| Total RVUs | 2.8631 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$95.63
Open 99463 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.13 | 1.002 |
| Practice expense | 0.58 | 1.058 |
| Malpractice | 0.13 | 0.886 |
(2.13 × 1.002 + 0.58 × 1.058 + 0.13 × 0.886) × $33.4009 = $95.63
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
99463 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $95.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $95.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $95.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $95.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $104.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $104.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $104.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $104.76 | RVU25A |
99463 billing questions
When should 99463 be used instead of 99460?
Use 99463 when the normal newborn is admitted to a hospital or birthing center and discharged on the same date. Use 99460 for initial hospital or birthing-center newborn care when the same-day discharge circumstance does not apply.
Can 99463 be reported for newborn care outside a hospital or birthing center?
No. For initial care of a normal newborn in a non-facility setting, consider 99461 instead.
How does 99463 differ from 99462?
99463 represents the same-day admission and discharge episode. 99462 is for subsequent daily care of a normal newborn who remains in the hospital or birthing center.
Should admission and discharge be coded as two separate newborn-care services?
No. 99463 represents the same-day newborn-care episode, including the initial and discharge-related care.
What documentation supports 99463?
Document the newborn’s normal status, the initial evaluation and management, and the admission and discharge dates showing both occurred on the same date.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,12799460,,Init nb em per day hosp,A,,1.92,0.38,NA,0.38,,0.12,2.42,2.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12899461,,Init nb em per day non-fac,A,,1.26,1.48,,0.26,,0.07,2.81,1.59,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12999462,,Sbsq nb em per day hosp,A,,0.84,0.17,NA,0.17,,0.05,1.06,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13099463,,Same day nb discharge,A,,2.13,0.58,NA,0.58,,0.13,2.84,2.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13199464,,Attendance at delivery,A,,1.50,0.31,NA,0.31,,0.08,1.89,1.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13299465,,Nb resuscitation,A,,2.93,0.59,NA,0.59,,0.18,3.70,3.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13399466,,Ped crit care transport,A,,4.79,0.97,NA,0.97,,0.28,6.04,6.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858