No office rate
Both codes are for pediatric critical care in patients ages 2 through 5. Choose 99475 for the initial day and 99476 for a subsequent day.
On this page
CMS RVU26D · Effective 2026-10-01
99476 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$307.59
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.
Pediatric critical care
About 99476: Subsequent pediatric critical care, ages 2–5
Reports a subsequent day of inpatient critical care management for a critically ill or injured patient who is 2 through 5 years old.
This code describes a subsequent day of intensive physician management for a critically ill or critically injured child ages 2 through 5. It is typically reported by a pediatric intensivist or another physician managing the child in an inpatient critical care setting, such as a pediatric intensive care unit. Examples of conditions requiring this level of care include respiratory failure or shock when the child needs active, intensive management.
Report the subsequent-day service after the initial day of pediatric critical care; use the age-specific initial-day code for ages 2 through 5 on the initial day. The record should support the child’s age, critical illness or injury, and the evaluation and management performed that day, including the ongoing problems addressed and treatment decisions. This is a per-day service, so report it for the documented subsequent day rather than as a time-based unit. The record should also make clear that the service was critical care, rather than routine inpatient follow-up.
Where the value comes from
- Work RVU6.75 · 74%
- Practice expense (office) RVU1.87 · 20%
- Malpractice RVU0.55 · 6%
313
Medicare services in 2024 · #3966 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.
99476 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
This is the subsequent-day counterpart for pediatric critical care in patients 29 days through 24 months; 99476 applies to ages 2 through 5.
No office rate
99469 reports subsequent neonatal critical care. Use 99476 for subsequent-day critical care in a child ages 2 through 5.
The same code, a different location
How does Redding compare?
99476 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Merced
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Modesto
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Napa
California · 99476
Office
Unavailable
Facility
$331.31
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 99476
Office
Unavailable
Facility
$317.04
No comparable office rate is available.
Rest Of California
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 99476
Office
Unavailable
Facility
$313.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 99476
Office
Unavailable
Facility
$316.06
No comparable office rate is available.
Salinas
California · 99476
Office
Unavailable
Facility
$314.68
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 99476
Office
Unavailable
Facility
$316.88
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 99476
Office
Unavailable
Facility
$343.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 99476
Office
Unavailable
Facility
$342.75
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 99476
Office
Unavailable
Facility
$350.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 99476
Office
Unavailable
Facility
$347.62
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 99476
Office
Unavailable
Facility
$310.28
No comparable office rate is available.
Santa Cruz-Watsonville
California · 99476
Office
Unavailable
Facility
$315.93
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 99476
Office
Unavailable
Facility
$314.44
No comparable office rate is available.
Santa Rosa-Petaluma
California · 99476
Office
Unavailable
Facility
$318.77
No comparable office rate is available.
Stockton
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Vallejo
California · 99476
Office
Unavailable
Facility
$330.41
No comparable office rate is available.
Visalia
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Yuba City
California · 99476
Office
Unavailable
Facility
$307.59
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 99476
Office
Unavailable
Facility
$331.65
No comparable office rate is available.
Miami
Florida · 99476
Office
Unavailable
Facility
$336.94
No comparable office rate is available.
Chicago
Illinois · 99476
Office
Unavailable
Facility
$331.97
No comparable office rate is available.
Manhattan
New York · 99476
Office
Unavailable
Facility
$341.60
No comparable office rate is available.
Alaska*
Alaska · 99476
Office
Unavailable
Facility
$414.83
No comparable office rate is available.
Alabama
Alabama · 99476
Office
Unavailable
Facility
$290.51
No comparable office rate is available.
Arkansas
Arkansas · 99476
Office
Unavailable
Facility
$288.57
No comparable office rate is available.
Arizona
Arizona · 99476
Office
Unavailable
Facility
$301.70
No comparable office rate is available.
Colorado
Colorado · 99476
Office
Unavailable
Facility
$308.97
No comparable office rate is available.
Connecticut
Connecticut · 99476
Office
Unavailable
Facility
$319.46
No comparable office rate is available.
Delaware
Delaware · 99476
Office
Unavailable
Facility
$304.81
No comparable office rate is available.
Fort Lauderdale
Florida · 99476
Office
Unavailable
Facility
$321.94
No comparable office rate is available.
Rest Of Florida
Florida · 99476
Office
Unavailable
Facility
$312.78
No comparable office rate is available.
Atlanta
Georgia · 99476
Office
Unavailable
Facility
$311.65
No comparable office rate is available.
Rest Of Georgia
Georgia · 99476
Office
Unavailable
Facility
$303.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 99476
Office
Unavailable
Facility
$307.11
No comparable office rate is available.
Iowa
Iowa · 99476
Office
Unavailable
Facility
$289.90
No comparable office rate is available.
Idaho
Idaho · 99476
Office
Unavailable
Facility
$291.61
No comparable office rate is available.
East St. Louis
Illinois · 99476
Office
Unavailable
Facility
$319.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 99476
Office
Unavailable
Facility
$311.19
No comparable office rate is available.
Suburban Chicago
Illinois · 99476
Office
Unavailable
Facility
$323.73
No comparable office rate is available.
Indiana
Indiana · 99476
Office
Unavailable
Facility
$292.28
No comparable office rate is available.
Kansas
Kansas · 99476
Office
Unavailable
Facility
$291.18
No comparable office rate is available.
Kentucky
Kentucky · 99476
Office
Unavailable
Facility
$297.79
No comparable office rate is available.
New Orleans
Louisiana · 99476
Office
Unavailable
Facility
$305.10
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 99476
Office
Unavailable
Facility
$298.33
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 99476
Office
Unavailable
Facility
$325.63
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 99476
Office
Unavailable
Facility
$309.47
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 99476
Office
Unavailable
Facility
$318.81
No comparable office rate is available.
Rest Of Maryland
Maryland · 99476
Office
Unavailable
Facility
$307.78
No comparable office rate is available.
Rest Of Maine
Maine · 99476
Office
Unavailable
Facility
$294.35
No comparable office rate is available.
Southern Maine
Maine · 99476
Office
Unavailable
Facility
$298.95
No comparable office rate is available.
Detroit
Michigan · 99476
Office
Unavailable
Facility
$316.70
No comparable office rate is available.
Rest Of Michigan
Michigan · 99476
Office
Unavailable
Facility
$303.22
No comparable office rate is available.
Minnesota
Minnesota · 99476
Office
Unavailable
Facility
$295.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 99476
Office
Unavailable
Facility
$302.05
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 99476
Office
Unavailable
Facility
$303.32
No comparable office rate is available.
Rest Of Missouri
Missouri · 99476
Office
Unavailable
Facility
$297.19
No comparable office rate is available.
Mississippi
Mississippi · 99476
Office
Unavailable
Facility
$292.81
No comparable office rate is available.
Montana**
Montana · 99476
Office
Unavailable
Facility
$306.25
No comparable office rate is available.
North Carolina
North Carolina · 99476
Office
Unavailable
Facility
$295.47
No comparable office rate is available.
North Dakota**
North Dakota · 99476
Office
Unavailable
Facility
$295.37
No comparable office rate is available.
Nebraska
Nebraska · 99476
Office
Unavailable
Facility
$290.05
No comparable office rate is available.
New Hampshire
New Hampshire · 99476
Office
Unavailable
Facility
$306.55
No comparable office rate is available.
Northern Nj
New Jersey · 99476
Office
Unavailable
Facility
$331.73
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 99476
Office
Unavailable
Facility
$322.83
No comparable office rate is available.
New Mexico
New Mexico · 99476
Office
Unavailable
Facility
$304.79
No comparable office rate is available.
Nevada**
Nevada · 99476
Office
Unavailable
Facility
$303.28
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 99476
Office
Unavailable
Facility
$348.26
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 99476
Office
Unavailable
Facility
$326.22
No comparable office rate is available.
Queens
New York · 99476
Office
Unavailable
Facility
$340.20
No comparable office rate is available.
Rest Of New York
New York · 99476
Office
Unavailable
Facility
$297.71
No comparable office rate is available.
Ohio
Ohio · 99476
Office
Unavailable
Facility
$301.00
No comparable office rate is available.
Oklahoma
Oklahoma · 99476
Office
Unavailable
Facility
$295.51
No comparable office rate is available.
Portland
Oregon · 99476
Office
Unavailable
Facility
$312.12
No comparable office rate is available.
Rest Of Oregon
Oregon · 99476
Office
Unavailable
Facility
$300.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 99476
Office
Unavailable
Facility
$316.45
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 99476
Office
Unavailable
Facility
$300.15
No comparable office rate is available.
Puerto Rico
Puerto Rico · 99476
Office
Unavailable
Facility
$306.70
No comparable office rate is available.
Rhode Island
Rhode Island · 99476
Office
Unavailable
Facility
$310.65
No comparable office rate is available.
South Carolina
South Carolina · 99476
Office
Unavailable
Facility
$298.78
No comparable office rate is available.
South Dakota**
South Dakota · 99476
Office
Unavailable
Facility
$294.09
No comparable office rate is available.
Tennessee
Tennessee · 99476
Office
Unavailable
Facility
$292.10
No comparable office rate is available.
Austin
Texas · 99476
Office
Unavailable
Facility
$308.27
No comparable office rate is available.
Beaumont
Texas · 99476
Office
Unavailable
Facility
$299.36
No comparable office rate is available.
Brazoria
Texas · 99476
Office
Unavailable
Facility
$303.49
No comparable office rate is available.
Dallas
Texas · 99476
Office
Unavailable
Facility
$305.46
No comparable office rate is available.
Fort Worth
Texas · 99476
Office
Unavailable
Facility
$305.07
No comparable office rate is available.
Galveston
Texas · 99476
Office
Unavailable
Facility
$304.49
No comparable office rate is available.
Houston
Texas · 99476
Office
Unavailable
Facility
$314.56
No comparable office rate is available.
Rest Of Texas
Texas · 99476
Office
Unavailable
Facility
$301.32
No comparable office rate is available.
Utah
Utah · 99476
Office
Unavailable
Facility
$300.66
No comparable office rate is available.
Virginia
Virginia · 99476
Office
Unavailable
Facility
$299.82
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 99476
Office
Unavailable
Facility
$306.70
No comparable office rate is available.
Vermont
Vermont · 99476
Office
Unavailable
Facility
$296.59
No comparable office rate is available.
Rest Of Washington
Washington · 99476
Office
Unavailable
Facility
$308.14
No comparable office rate is available.
Seattle (King Cnty)
Washington · 99476
Office
Unavailable
Facility
$328.38
No comparable office rate is available.
Wisconsin
Wisconsin · 99476
Office
Unavailable
Facility
$290.95
No comparable office rate is available.
West Virginia
West Virginia · 99476
Office
Unavailable
Facility
$306.02
No comparable office rate is available.
Wyoming**
Wyoming · 99476
Office
Unavailable
Facility
$301.51
No comparable office rate is available.
See how rates vary across the country
99476 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 99476 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$338.35
$307.59 × 110% = $338.35
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 99476 in Redding.
PPRRVU2026_Oct_nonQPP.csv
13,143
- Code
- 99476
- Physician work
- 6.75
- Practice expense
- 1.87
- Malpractice
- 0.55
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.75 | × 1.017 | 6.8647 |
| Practice expense | 1.87 | × 1.096 | 2.0495 |
| Malpractice | 0.55 | × 0.536 | 0.2948 |
| Total RVUs | 9.2091 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$307.59
Open 99476 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.75 | 1.017 |
| Practice expense | 1.87 | 1.096 |
| Malpractice | 0.55 | 0.536 |
(6.75 × 1.017 + 1.87 × 1.096 + 0.55 × 0.536) × $33.4009 = $307.59
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
99476 · 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 | $307.59 | RVU26D |
| 2026-07-01 | Not available in this setting | $307.59 | RVU26C |
| 2026-04-01 | Not available in this setting | $307.59 | RVU26B |
| 2026-01-01 | Not available in this setting | $307.59 | RVU26A |
| 2025-10-01 | Not available in this setting | $328.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $328.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $328.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $328.42 | RVU25A |
99476 billing questions
When should 99476 be chosen instead of 99475?
Use 99475 for the initial day of pediatric critical care for a child ages 2 through 5. Use 99476 for a subsequent day of that care.
How does 99476 differ from 99472?
Both describe subsequent-day pediatric critical care, but 99472 is for patients 29 days through 24 months old. Code 99476 is for patients ages 2 through 5.
Is 99476 billed by time or by day?
It is a per-day service, not a time-based unit. The documentation should support the subsequent day of critical care management.
What documentation supports reporting 99476?
Document the patient’s age, critical illness or injury, and the intensive evaluation and management provided that day. The record should distinguish critical care management from routine inpatient follow-up.
Can 99476 be used for a newborn receiving intensive care?
No. Neonatal critical care has age-specific codes, including 99469 for subsequent neonatal critical care. Code 99476 is for children ages 2 through 5.
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.
13,14099473,,Self-meas bp pt educaj/train,A,,0.00,0.45,,0.45,NA,0.01,0.46,0.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14199474,,Self-meas bp 2 readg bid 30d,A,,0.18,0.36,,0.05,,0.01,0.55,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14299475,,Ped crit care age 2-5 init,A,,11.25,2.26,NA,2.26,,0.68,14.19,14.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14399476,,Ped crit care age 2-5 subsq,A,,6.75,1.87,NA,1.87,,0.55,9.17,9.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14499477,,Init day hosp neonate care,A,,7.00,1.41,NA,1.41,,0.43,8.84,8.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14599478,,"Sbsq ic vlbw inf<1,500 gm",A,,2.75,0.55,NA,0.55,,0.17,3.47,3.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14699479,,"Sbsq ic lbw inf 1,500-2,500",A,,2.50,0.50,NA,0.50,,0.15,3.15,3.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536