CPT 99465 is a code used by healthcare providers to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management. It represents Delivery/Birthing Room Resuscitation Provision Of Positive Pressure Ventilation And/Or Chest Compressions In The Presence Of Acute Inadequate Ventilation And/Or Cardiac Output.

CPT 99465 Fee Schedule

Last Verified: March 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.

Delivery/Birthing Room Resuscitation Provision Of Positive Pressure Ventilation And/Or Chest Compressions In The Presence Of Acute Inadequate Ventilation And/Or Cardiac Output

Key Fact	Detail
Service Type	• Evaluation and Management • Delivery/Birthing Room Attendance and Resuscitation Services
Common Place of Service	• 21 - Inpatient Hospital • 99 - Other POS
Common Modifiers	• None • 25 - Significant, separately identifiable E/M service same day • SA
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 99465

National average reimbursement for CPT 99465 by major payers:

$187.83

$185.85

$186.84

$236.53

Preview provider-level rates for...

For billing codeCPT 99465

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99465
United	99465	$220.10	1134741028 - SHAHZAIB KHAN	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	99465	$223.44	1700898038 - EDWIN COOK	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	99465	$152.10	1083641237 - JOHN MARTIN	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Clinical Psychologist (103TC0700X)
United	99465	$241.19	1891026381 - NANCY UDALL	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	NC	Certified Registered Nurse Anesthetist (367500000X)
United	99465	$352.04	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	99465	$173.38	1063891232 - BIKRAM SHARMA	364340137 - (IL) SAINT ANTHONY HEALTH AFFILIATES	OH	Psychiatry Physician (2084P0800X)
United	99465	$352.04	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	99465	$119.76	1992348841 - SAMANTHA ELSBREE	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	FL	Family Nurse Practitioner (363LF0000X)
United	99465	$287.44	1114196995 - ANGELA GREEN	910844563	LA	Psychiatry Physician (2084P0800X)
United	99465	$180.61	1366437493 - GEORGE KARTALIAN, JR.	541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.	VA	Orthopaedic Surgery Physician (207X00000X)
United	99465	$307.79	1760419311 - PETER HEYDEMANN	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	99465	$188.50	1699752204 - CATHERINE CAMILLERI	581672987 - (IL) EDWARD HEALTH VENTURES	IL	Psychiatry Physician (2084P0800X)
United	99465	$379.91	1851376230 - ANITA PAIRITZ	351913875 - INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS	IN	Psychiatry Physician (2084P0800X)
United	99465	$189.10	1043606742 - JENIFER LLOYD	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	IL	Psychiatry Physician (2084P0800X)
United	99465	$220.10	1700131182 - MATTHEW ATIENZA	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Run a free sample report

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

Explore state-level rates for free

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

CPT 99465 vs. Other Delivery/Birthing Room Attendance and Resuscitation Services Codes

The CPT 99465 code is part of the Evaluation and Management services used for Delivery/Birthing Room Attendance and Resuscitation 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 99465 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
99460-CPT	Low	Initial Hospital Or Birthing Center Care, Per Day, For E&M Of Normal Newborn Infant
99461-CPT	Low	Initial Care, Per Day, For Evaluation And Management Of Normal Newborn Infant Seen In Other Than Hospital Or Birthing Center
99462-CPT	Low	Subsequent Hospital Care, Per Day, For E&M Of Normal Newborn
99465-CPT	Low	Delivery/Birthing Room Resuscitation Provision Of Positive Pressure Ventilation And/Or Chest Compressions In The Presence Of Acute Inadequate Ventilation And/Or Cardiac Output

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 99465 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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like CPT 99465) and we'll show you how you compare in 15 minutes or less.

Schedule a Demo

CPT 99465 Fee Schedule

Want to see your competitors' rates?

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Prospect for new business using fee schedules

Integrate real-time payer data into your workflows

Let's review your payer contracts side-by-side with the market.

Frequently Asked Questions

How can I find out the estimated cost of a medical procedure before I have it?

What is a CPT code and why is it important for understanding medical costs?

Where can I find information about the prices of medical services in my specific area using CPT codes?

How do I know if my insurance will cover a specific medical service and what my out-of-pocket cost might be?