No office rate
99464 covers requested attendance and initial stabilization. 99465 is for active resuscitation in the delivery or birthing room.
On this page
CMS RVU26D · Effective 2026-10-01
99464 Delivery attendance Medicare reimbursement rates in Wisconsin
Report this service when a clinician attends a delivery at the delivering physician’s request and provides immediate assessment and stabilization of the newborn. Compare 99464 office and facility rates across CMS payment localities in Wisconsin.
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 99464 in Wisconsin?
Wisconsin 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
$60.84
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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.
Newborn care
About 99464: Newborn delivery attendance and stabilization
Report this service when a clinician attends a delivery at the delivering physician’s request and provides immediate assessment and stabilization of the newborn.
A pediatrician, neonatologist, or other clinician may be called to the birthing room when the delivering physician anticipates a newborn who may need immediate assessment or stabilization. The service covers presence at the delivery and initial care of the newborn, such as evaluating the infant’s condition and providing appropriate immediate support. The key circumstance is attendance requested by the delivering physician, not simply the clinician’s later examination of the newborn.
Document who requested attendance, why the clinician was called, the newborn’s condition at birth, the assessment and stabilization performed, and the disposition or handoff. Distinguish this service from active delivery-room resuscitation, which is addressed by 99465, and from a separate newborn evaluation after birth, such as 99460 or 99461. The CMS physician fee schedule valuation uses work, practice-expense, and malpractice RVUs; the supplied record lists the same practice-expense RVU for office and facility settings.
Where the value comes from
- Work RVU1.50 · 79%
- Practice expense (office) RVU0.31 · 16%
- Malpractice RVU0.08 · 4%
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.
99464 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
99460 describes initial newborn evaluation and management in a hospital setting; 99464 describes attendance at delivery and immediate newborn stabilization.
$90.16
99461 describes initial newborn evaluation and management in a non-facility setting, rather than attendance at the birth.
Compare 99464 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
Wisconsin →
Office / nonfacility
Unavailable
Facility
$60.84
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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 99464 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
13,131
- Code
- 99464
- Physician work
- 1.50
- Practice expense
- 0.31
- Malpractice
- 0.08
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.50 | × 1.000 | 1.5000 |
| Practice expense | 0.31 | × 0.958 | 0.2970 |
| Malpractice | 0.08 | × 0.308 | 0.0246 |
| Total RVUs | 1.8216 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$60.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1 |
| Practice expense | 0.31 | 0.958 |
| Malpractice | 0.08 | 0.308 |
(1.5 × 1 + 0.31 × 0.958 + 0.08 × 0.308) × $33.4009 = $60.84
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.
99464 billing questions
When should 99464 be selected instead of 99465?
Use 99464 for requested attendance and initial newborn assessment or stabilization. When active delivery-room resuscitation is performed, assess whether 99465 describes the service instead.
What documentation supports reporting 99464?
Record the delivering physician’s request, the reason for attendance, the newborn’s condition, the assessment and immediate support provided, and the handoff or disposition.
Can 99464 be reported with a newborn evaluation code?
A separate newborn evaluation, such as 99460 or 99461, describes care beyond delivery attendance. Document the distinct evaluation and services rather than relying only on the attendance record.
Does 99464 represent a timed service?
The supplied CMS facts provide no time threshold for this code. Documentation should describe the delivery attendance and newborn care performed, rather than relying on elapsed time.
Who must request the delivery attendance?
The service is for attendance requested by the delivering physician. Document the request and its clinical reason in the delivery record.
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.
13,12899461,,Init nb em per day non-fac,A,,1.26,1.48,,0.26,,0.07,2.81,1.59,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12999462,,Sbsq nb em per day hosp,A,,0.84,0.17,NA,0.17,,0.05,1.06,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13099463,,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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,