Billing code 99447: Interprofessional consultMedicare rate & RVUs in Illinois
A consulting physician reports an interprofessional medical review and clinician discussion lasting 11–20 minutes, with verbal and written guidance for the treating professional.
Medicare pays $38.32–$41.33 for 99447 in the office in Illinois, from Rest Of Illinois to Chicago. Which amount applies depends on the service address.
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 9 sections
What 99447 covers
99447 captures a remote consultation in which a treating clinician seeks another physician’s assessment of a particular patient’s care. The consultant reviews relevant records and discusses findings or management by telephone, internet, or electronic health record, then provides verbal and written feedback to the requesting clinician. For example, a primary care clinician may ask a cardiologist to review a patient’s clinical information and advise on management. The consultant reports the service; the treating clinician does not report 99447 for requesting the advice.
Choose 99447 when documented medical consultative review and discussion time totals 11–20 minutes. Record the request, material reviewed, discussion, recommendations, and report. The verbal and written report are integral to this consultation, not separate services under 99447. CMS physician fee schedule valuation includes physician work, practice expense, and malpractice; practice-expense valuation differs between office and facility settings.
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 99447 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$38.32 to $41.33
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $41.33 | $35.29 |
| East St. Louis | $39.46 | $33.93 |
| Rest Of Illinois | $38.32 | $32.83 |
| Suburban Chicago | $40.38 | $34.20 |
How the 99447 rate is calculated
Each of 99447’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 · 99447
RVUs × geographic indexes × conversion factor
Work0.70
0.70 RVUs× 1.000 GPCI
Practice expense0.37
0.37 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.1400
Conversion factor
$33.4009
Medicare rate
$38.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99447
99447 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 · 99447
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$38.08
- Non-facility (office)
- $38.08
- Facility
- $32.06
Higher because the practice carries its own overhead.
99447 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99446Consultation
- Use 99446 for the shorter 5–10-minute time band; 99447 represents 11–20 minutes.
- 99448Interprofessional consultation
- Use 99448 for the 21–30-minute time band; 99447 represents 11–20 minutes.
- 99451E-consult
- 99451 is the related consultation option for medical consultative time with a written report. 99447 describes the 11–20-minute discussion-and-review band and includes verbal and written feedback.
99447 billing questions
How does 99447 differ from 99446 or 99448?
Select by documented medical consultative review and discussion time: 99447 is for 11–20 minutes. The neighboring codes represent shorter or longer time bands.
Does 99447 include the consultant’s report?
Yes. The service includes verbal and written feedback to the treating or requesting clinician; those reports are not separate 99447 services.
What time should the record support?
Document the medical consultative review and discussion time that supports the 11–20-minute band, along with the records reviewed and advice given.
When would 99451 be considered instead?
99451 is the related interprofessional consultation option when reporting the consultant’s medical consultative time with a written report under that code’s criteria. 99447 represents the 11–20-minute discussion-and-review band and includes verbal and written feedback.
Who reports 99447?
The consulting physician reports it for the requested assessment and advice. The treating clinician who requested the consultation does not report 99447 for making the request.
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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