Last updated: March 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.
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99461
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Physician Fee Schedule·99461·National·2025, 2026
Current non-facility rate
$93.86▲0.0%
Facility: $53.11
Recent trend
Code description
Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 99461 | 4/2026 | N/A | 00 | 00000 | $93.86 | $53.11 | Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center |
| 99461 | 1/2026 | N/A | 00 | 00000 | $93.86 | $53.11 | Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center |
| 99461 | 10/2025 | N/A | 00 | 00000 | $88.63 | $58.22 | Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center |
| 99461 | 7/2025 | N/A | 00 | 00000 | $88.63 | $58.22 | Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center |
| 99461 | 4/2025 | N/A | 00 | 00000 | $88.63 | $58.22 | Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center |
| 99461 | 1/2025 | N/A | 00 | 00000 | $88.63 | $58.22 | Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center |
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Related codes
99460Initial Hospital Or Birthing Center Care, Per Day, For E&M Of Normal Newborn Infant
$80.8399462Subsequent Hospital Care, Per Day, For E&M Of Normal Newborn
$35.4199463Initial Hospital Or Birthing Center Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Admitted And Discharged On The Same Date
$94.86Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
View CMS Physician Fee Schedule