$18.26
Use 99446 for the shorter 5–10-minute time band; 99447 represents 11–20 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99447 Interprofessional consult Medicare reimbursement rates in Kentucky
A consulting physician reports an interprofessional medical review and clinician discussion lasting 11–20 minutes, with verbal and written guidance for the treating professional. Compare 99447 office and facility rates across CMS payment localities in Kentucky.
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.
What does Medicare pay for 99447 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$36.51
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$31.16
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Interprofessional consultation
About 99447: Interprofessional medical consultation, 11–20 minutes
A consulting physician reports an interprofessional medical review and clinician discussion lasting 11–20 minutes, with verbal and written guidance for the treating professional.
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.
Where the value comes from
- Work RVU0.70 · 61%
- Practice expense (office) RVU0.37 · 32%
- Malpractice RVU0.07 · 6%
10.3K
Medicare services in 2024 · #1451 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.
99447 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$54.45
Use 99448 for the 21–30-minute time band; 99447 represents 11–20 minutes.
$34.11
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.
Compare 99447 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$36.51
Facility
$31.16
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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 99447 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
13,114
- Code
- 99447
- Physician work
- 0.70
- Practice expense
- 0.37
- Malpractice
- 0.07
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 0.37 | × 0.889 | 0.3289 |
| Malpractice | 0.07 | × 0.915 | 0.0641 |
| Total RVUs | 1.0930 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$36.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.37 | 0.889 |
| Malpractice | 0.07 | 0.915 |
(0.7 × 1 + 0.37 × 0.889 + 0.07 × 0.915) × $33.4009 = $36.51
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.19 | 0.889 |
| Malpractice | 0.07 | 0.915 |
(0.7 × 1 + 0.19 × 0.889 + 0.07 × 0.915) × $33.4009 = $31.16
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.
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 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.
13,11199439,,Chrnc care mgmt staf ea addl,A,,0.70,0.76,,0.17,,0.05,1.51,0.92,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11299445,,Rem mntr physiol param 2-15,A,,0.00,1.55,,1.55,NA,0.01,1.56,1.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11399446,,Ntrprof ph1/ntrnet/ehr 5-10,A,,0.35,0.18,,0.09,,0.04,0.57,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11499447,,Ntrprof ph1/ntrnet/ehr 11-20,A,,0.70,0.37,,0.19,,0.07,1.14,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11599448,,Ntrprof ph1/ntrnet/ehr 21-30,A,,1.05,0.56,,0.29,,0.09,1.70,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11699449,,Ntrprof ph1/ntrnet/ehr 31/>,A,,1.40,0.76,,0.38,,0.12,2.28,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11799450,,Basic life disability exam,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631