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See a sample rate comparisonCPT 99184 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hypothermia Ill Neonate, Initiation Of Selective Head Or Total Body Hypothermia In The Critically Ill Neonate Includes Appropriate Patient Selection By Review Of Clinical Imaging And Laboratory Data Confirmation Of Esophageal Temperature Probe Location Evaluation Of Amplitude Eeg Supervision Of Controlled Hypothermia And Assessment Of Patient Tolerance Of Cooling
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Other Medicine Services and Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service 25 - Significant, separately identifiable E/M service same day |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $184.04 national non-facility rate (2026) · View Medicare rates for 99184 |
| Medicaid Fee Schedule | $152.08 median of the 8 states in the free preview · View Medicaid rates for 99184 |
National average reimbursement for CPT 99184 by major payers:
$305.29
$292.65
$295.03
$359.93
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CPT 99184
5 of 25 sample ratesHigher to lower in this preview
Jillian Olsen
$1,288.11Published rateMatthew Wylie
Reliant Medical Group, Inc.
$452.54Published rateAdrianne Powell
Memorial Hermann Medical Group
$312.51Published rateSreedevi Godey
$239.86Published rateGregory Davis
Rational Intergrative Medicine PLLC
$180.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 99184 vs. Other Other Medicine Services and Procedures Codes
The CPT 99184 code is part of the Medicine Services and Procedures services used for Other Medicine Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 99184 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 99075-CPT | Low | Testimony For A Legal Case, Testimony By A Health Care Professional About Medical Care That Is Provided To A Medical Board In A Deposition Or As A Witness In A Court Case. |
| 99183-CPT | Low | Physician Or Other Qualified H, Physician Or Other Qualified Health Care Professional Attendance And Supervision Of Hyperbaric Oxygen Therapy Per Session |
| 99184-CPT | Moderate | Hypothermia Ill Neonate, Initiation Of Selective Head Or Total Body Hypothermia In The Critically Ill Neonate Includes Appropriate Patient Selection By Review Of Clinical Imaging And Laboratory Data Confirmation Of Esophageal Temperature Probe Location Evaluation Of Amplitude Eeg Supervision Of Controlled Hypothermia And Assessment Of Patient Tolerance Of Cooling |
| 99188-CPT | Low | Fluoride Varnish Application, A Prescription Strength Fluoride Varnish Is Applied Directly To Teeth Considered To Be At A High Risk Of Damage From Decay. The Therapy Is Designed To Prevent Cavities. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99184. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99184 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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