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Last updated: July 2026CMS official rates · Free to use

Medicare Fee Schedule Lookup

Find 2026 Medicare reimbursement rates and national payment amounts for any CPT, HCPCS, or MS-DRG code. Physician Fee Schedule, Drug ASP, MS-DRG weights, Anesthesia, and Clinical Lab — sourced directly from CMS.

Coverage at a glance
11,200+
Physician codes →
5,400+
Drug HCPCS codes →
770
MS-DRGs →
10+
Years of history

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99416
2026

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Up to 5 codes · 4 remaining

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Physician Fee Schedule·99416·National·2026
Current non-facility rate
$12.69▲0.0%
Facility: $12.79
Code description

Prolonged Clinical Staff Service (The Service Beyond The Highest Time In The Range Of Total Timeof The Service) During An Evaluation And Management Service In The Office Or Outpatient Setting Direct Patient Contact With Physician Supervision; Each Additional 30 Minutes (List Separately In Addition To Code For Prolonged Service) (Desc Rvsd 1/1/21)

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
994167/2026N/A0000000$12.69$12.79Prolonged Clinical Staff Service (The Service Beyond The Highest Time In The Range Of Total Timeof The Service) During An Evaluation And Management Service In The Office Or Outpatient Setting Direct Patient Contact With Physician Supervision; Each Additional 30 Minutes (List Separately In Addition To Code For Prolonged Service) (Desc Rvsd 1/1/21)
994164/2026N/A0000000$12.69$12.79Prolonged Clinical Staff Service (The Service Beyond The Highest Time In The Range Of Total Timeof The Service) During An Evaluation And Management Service In The Office Or Outpatient Setting Direct Patient Contact With Physician Supervision; Each Additional 30 Minutes (List Separately In Addition To Code For Prolonged Service) (Desc Rvsd 1/1/21)
994161/2026N/A0000000$12.69$12.79Prolonged Clinical Staff Service (The Service Beyond The Highest Time In The Range Of Total Timeof The Service) During An Evaluation And Management Service In The Office Or Outpatient Setting Direct Patient Contact With Physician Supervision; Each Additional 30 Minutes (List Separately In Addition To Code For Prolonged Service) (Desc Rvsd 1/1/21)
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Related codes

99415Prolonged Clinical Staff Service (The Service Beyond The Highest Time In The Range Of Total Timeof The Service) During An Evaluation And Management Service In The Office Or Outpatient Setting Direct Patient Contact With Physician Supervision; First Hour (List Separately In Addition To Code For Outpatient Evaluation And Management Service) (Desc Rvsd 1/1/21)
$23.05
99417Prolng Off/Op E/M Ea 15 Min, Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time Requiring Total Time With Or Without Direct Patient Contact Beyond The Usual Service On The Date Of The Primary Service Each 15 Minutes Of Total Time (List Separately In Addition To Codes 99205 99215 For Office Or Other Outpatient Evaluation And Management Services)
$32.07
99418Prolng Ip/Obs E/M Ea 15 Min, Prolonged Inpatient Or Observation Evaluation And Management Service(S) Time With Or Without Direct Patient Contact Beyond The Required Time Of The Primary Service When The Primary Service Level Has Been Selected Using Total Time Each 15 Minutes Of Total Time (List Separately In Addition To The Code Of The Inpatient And Observation Evaluation And Management Service)
$34.74