$18.17–$18.75
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 Missouri
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 Missouri.
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 Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$36.31–$37.49
3 of 3 localities have a supported rate.
Facility setting
$31.13–$31.76
3 of 3 localities have a supported rate.
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.
Where 99447 pays more and less in Missouri
3 payment localities
$36.31 to $37.49
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 Missouri, from the same CMS release.
$54.12–$55.89
Use 99448 for the 21–30-minute time band; 99447 represents 11–20 minutes.
$33.93–$34.91
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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$37.27
Facility
$31.62
Metropolitan St. Louis →
Office / nonfacility
$37.49
Facility
$31.76
Rest Of Missouri →
Office / nonfacility
$36.31
Facility
$31.13
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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