No office rate
99467 covers each additional 30 minutes after the initial 99466 interval; it is not used for the first transport interval.
On this page
CMS RVU26D · Effective 2026-10-01
99466 Critical care transport Medicare reimbursement rates in Utah
Reports a clinician’s face-to-face critical care during transport of a critically ill or injured child age 24 months or younger. Compare 99466 office and facility rates across CMS payment localities in Utah.
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 99466 in Utah?
Utah 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
No supported rate
Facility setting
$198.84
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Critical care transport
About 99466: Pediatric critical care transport, first interval
Reports a clinician’s face-to-face critical care during transport of a critically ill or injured child age 24 months or younger.
99466 covers face-to-face critical care provided by a physician or other qualified health care professional while a critically ill or injured child age 24 months or younger is being transported. A typical situation is an interfacility transfer for a child who needs ongoing intensive monitoring or treatment en route to a higher level of pediatric or neonatal care. The service is the clinician’s care during transport, not the ambulance trip itself.
Report 99466 for the first 30–74 minutes of clinical care during transport. For additional qualifying time, report 99467, the add-on code for each additional 30 minutes. Documentation should establish the child’s age and critical condition, the transport, the clinician’s face-to-face care, and the time spent providing it. The Medicare Physician Fee Schedule assigns work, practice-expense, and malpractice RVUs to this service; the applicable payment amount is displayed separately.
Where the value comes from
- Work RVU4.79 · 79%
- Practice expense (office) RVU0.97 · 16%
- Malpractice RVU0.28 · 5%
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.
99466 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
99468 reports initial critical care for a neonate, rather than the clinician’s face-to-face critical care during transport.
No office rate
99471 reports initial pediatric critical care outside the transport service; 99466 is specific to face-to-face care during transport for a child age 24 months or younger.
Compare 99466 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
Utah →
Office / nonfacility
Unavailable
Facility
$198.84
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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 99466 in Utah.
PPRRVU2026_Oct_nonQPP.csv
13,133
- Code
- 99466
- Physician work
- 4.79
- Practice expense
- 0.97
- Malpractice
- 0.28
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.79 | × 1.000 | 4.7900 |
| Practice expense | 0.97 | × 0.940 | 0.9118 |
| Malpractice | 0.28 | × 0.898 | 0.2514 |
| Total RVUs | 5.9532 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$198.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.79 | 1 |
| Practice expense | 0.97 | 0.94 |
| Malpractice | 0.28 | 0.898 |
(4.79 × 1 + 0.97 × 0.94 + 0.28 × 0.898) × $33.4009 = $198.84
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.
99466 billing questions
When should 99466 be chosen over 99467?
99466 reports the first 30–74 minutes of face-to-face critical care during transport. Report 99467 for each additional 30 minutes.
Does 99466 include the ambulance charge?
No. It reports the clinician’s critical care during transport, not the vehicle or ambulance transportation service.
What time should the record support?
Document the time spent providing face-to-face clinical care during transport, along with the child’s critical condition and care provided en route.
Can 99466 be reported with critical care at the destination?
The transport service describes care during the trip; critical care furnished separately at the destination is a different service. Document the distinct care and its own time.
Does the patient’s age affect code selection?
Yes. 99466 is for transport critical care involving a child age 24 months or younger. The record should support the patient’s age.
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.
13,13099463,,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
13,13499467,,Ped crit care transport addl,A,,2.40,0.48,NA,0.48,,0.15,3.03,3.03,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13599468,,Neonate crit care initial,A,,18.46,3.71,NA,3.71,,1.14,23.31,23.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13699469,,Neonate crit care subsq,A,,7.99,1.61,NA,1.61,,0.48,10.08,10.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985