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See a sample rate comparisonCPT 99447 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.
Ntrprof Ph1 Ntrnet Ehr 11 20, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 11 20 Minutes Of Medical Consultative Discussion And Review
| Key Fact | Detail |
|---|---|
| Service Type | Evaluation and Management Non-Face-to-Face Services |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 95 - Telemedicine - audio and video GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $38.08 national non-facility rate (2026) · View Medicare rates for 99447 |
| Medicaid Fee Schedule | $30.145 median of the 8 states in the free preview · View Medicaid rates for 99447 |
National average reimbursement for CPT 99447 by major payers:
$57.60
$43.29
$35.04
$70.59
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CPT 99447
5 of 25 sample ratesHigher to lower in this preview
Heena Lee
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
$114.12Published rateJohn Lincoln
U T Physicians
$54.00Published rateMustafa Musa
Beaumont Internal Medicine & Geriatric Associates
$40.40Published rateVeena Reddy
Hha Hospital Medicine Of Texas PLLC
$33.45Published rateMahwish Ilyas
Centrum Medical Group PLLC
$27.87Published rate
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See a sample payer proposalCPT 99447 vs. Other Non-Face-to-Face Services Codes
The CPT 99447 code is part of the Evaluation and Management services used for Non-Face-to-Face Services. 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 99447 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 |
|---|---|---|
| 99447-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 11 20, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 11 20 Minutes Of Medical Consultative Discussion And Review |
| 99448-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 21 30, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 21 30 Minutes Of Medical Consultative Discussion And Review |
| 99449-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 31, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 31 Minutes Or More Of Medical Consultative Discussion And Review |
| 99451-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 5, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 5 Minutes Or More Of Medical Consultative Time |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99447 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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Frequently Asked Questions
CPT 99447 is an Evaluation and Management code for Non-Face-to-Face Services, indicating a moderate-complexity encounter. It differs from other non-face-to-face codes based on factors like provider time spent, the level of medical decision-making required, and documentation needs. Specifically, 99447 involves more provider time and moderate medical decision-making, often encompassing multiple diagnoses, medication management, or test interpretation, which distinguishes it from lower-level codes requiring less time and simpler assessments. This higher complexity typically leads to greater reimbursement and more detailed documentation requirements. For specific reimbursement rates or detailed coding guidance applicable to your location, you should consult Payerprice's fee schedule lookup tool.