Last updated: July 2026CMS rates · Free lookup
Medicare Fee Schedule Lookup
Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, or MS-DRG code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights, anesthesia conversion factors, and Clinical Laboratory Fee Schedule data from CMS.
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99468
2026
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Physician Fee Schedule·99468·National·2026
Current non-facility rate
$778.58▲0.0%
Facility: $778.58
Code description
Initial Inpatient Neonatal Cri, Initial Inpatient Neonatal Critical Care Per Dayfor The Evaluation And Management Of A Critically Ill Neonate 28 Days Of Age Or Younger
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 99468 | 7/2026 | N/A | 00 | 00000 | $778.58 | $778.58 | Initial Inpatient Neonatal Cri, Initial Inpatient Neonatal Critical Care Per Dayfor The Evaluation And Management Of A Critically Ill Neonate 28 Days Of Age Or Younger |
| 99468 | 4/2026 | N/A | 00 | 00000 | $778.58 | $778.58 | Initial Inpatient Neonatal Cri, Initial Inpatient Neonatal Critical Care Per Dayfor The Evaluation And Management Of A Critically Ill Neonate 28 Days Of Age Or Younger |
| 99468 | 1/2026 | N/A | 00 | 00000 | $778.58 | $778.58 | Initial Inpatient Neonatal Cri, Initial Inpatient Neonatal Critical Care Per Dayfor The Evaluation And Management Of A Critically Ill Neonate 28 Days Of Age Or Younger |
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Related codes
99466Critical Care In Ambulance, Physician Services Delivered To A Critically Ill Or Injured Toddler During A Transfer From One Facility To Another. Physician Time Varies According To Travel Time As Well As The Childs Condition And Treatment Needs.
$201.7499467Ped Crit Care Transport Addl, Critical Care Face To Face Services During An Interfacility Transport Of Critically Ill Or Critically Injured Pediatric Patient 24 Months Of Age Or Younger Each Additional 30 Minutes List Separately In Addition To Code For Primary Service
$101.2199469Subsequent Inpatient Neonatal, Subsequent Inpatient Neonatal Critical Care Per Day For The Evaluation And Management Of A Critically Ill Neonate 28 Days Of Age Or Younger
$336.68Methodology
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