CPT code 99467: Critical care transport2026 Medicare rate & RVUs in Utah
Report 99467 for each additional 30 minutes of face-to-face critical care transport for a critically ill or injured child age 24 months or younger.
CMS doesn’t publish an office rate for 99467 in Utah.
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 99467 covers
This add-on represents additional face-to-face, hands-on critical care provided during ambulance transport of a critically ill or injured child age 24 months or younger. A physician or other qualified health care professional who accompanies the child and provides critical care during transport may report it. The service is distinct from critical care delivered after arrival at the receiving hospital; transport time alone does not establish the service.
Report 99467 with the primary pediatric critical care transport service, typically 99466, for each additional 30 minutes of qualifying care beyond the primary service. Document the child’s age and critical condition, the transport, the clinician’s direct care, and the time supporting each additional unit. CMS classifies 99467 as an add-on code: it must be billed with a primary procedure, and payment is within that procedure’s global period.
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.
99467 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $99.73 |
How the 99467 rate is calculated
Each of 99467’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 · 99467
RVUs × geographic indexes × conversion factor
Work2.40
2.40 RVUs× 1.000 GPCI
Practice expense0.48
0.48 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
3.0300
Conversion factor
$33.4009
Medicare rate
$101.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99467
The CMS indicators that decide how 99467 is paid alongside other services.
CMS payment indicators · 99467
Critical care transport
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
99467 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99466Critical care transport
- 99466 is the primary pediatric critical care transport service; 99467 reports additional 30-minute periods and is not billed alone.
- 99471Pediatric critical care
- 99471 describes initial inpatient pediatric critical care. Use 99467 for qualifying additional care provided during transport, not care after hospital arrival.
- 99472Pediatric critical care
- 99472 describes subsequent inpatient pediatric critical care; 99467 applies to additional face-to-face critical care during transport.
99467 billing questions
When should 99467 be reported instead of 99466?
99466 represents the primary pediatric critical care transport service. Report 99467 for each additional 30 minutes of qualifying face-to-face care during that transport.
Can 99467 be billed by itself?
No. It is an add-on code and must be reported with a primary service, typically 99466.
Does ambulance travel time alone support 99467?
No. The documentation should support the clinician’s face-to-face, hands-on critical care during transport, as well as the time for each additional unit.
Is critical care after arrival included in 99467?
No. Care delivered after arrival is a separate service from critical care transport and is evaluated under the applicable hospital or critical care code.
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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