CPT 99479 Fee Schedule

Last Verified: November 2025

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.

Subsequent Intensive Care Per Day For The Evaluation And Management Of The Recovering Low Birth Weight Infant (Present Body Weight Of 1500-2500 Grams)

Key Fact	Detail
Service Type	• Evaluation and Management • Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
Common Place of Service	• 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 11 - Office
Common Modifiers	• None • GC - Service performed by resident under supervision • FS - Split/shared E/M visit
Complexity Level	Moderate

National average reimbursement for CPT 99479 by major payers:

$163.06

$158.78

$151.22

$202.64

Preview provider-level rates for...

For billing codeCPT 99479

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 99479
United	99479	$88.00	1780678037 - DONNA HINES	330831413 - (CA) CADUCEUS PHYSICIANS MEDICAL GROU	CA	Pediatrics Physician (208000000X)
United	99479	$127.23	1467908251 - IMAD AKEL	271316512 - (CA) FRIENDS OF FAMILY HEALTH CENTER	CA	Pediatrics Physician (208000000X)
United	99479	$626.11	1932424231 - DEEPA KULKARNI	954372298	CA	Pediatrics Physician (208000000X)
United	99479	$116.73	1841224631 - GEORGE SEGURA	953913265 - (CA) WHITE MEMORIAL PEDIATRIC MEDICAL GROUP	CA	Pediatrics Physician (208000000X)
United	99479	$390.10	1447544309 - HEATHER MARONEY	260089066	CA	Pediatrics Physician (208000000X)
United	99479	$470.70	1164836086 - MOJAN AZARMI	952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE	CA	Pediatrics Physician (208000000X)
United	99479	$197.61	1053462820 - PATRICK BURKE	941748384 - (CA) SOUTH EAST BAY PEDIATRIC MEDICAL GROUP, INC.	CA	Pediatrics Physician (208000000X)
United	99479	$685.28	1144857541 - OLIVIA MOLINEAUX	943281660	CA	Pediatrics Physician (208000000X)
United	99479	$373.02	1851497291 - LESLIE GALLOWAY	471370520	CA	Pediatrics Physician (208000000X)
United	99479	$447.14	1578958682 - JACLYN KAPPICO	954474603 - PEDIATRIX MEDICAL GROUP OF CALIFORNIA A PROFESSIONAL CORPORATION	CA	Neonatal-Perinatal Medicine Physician (2080N0001X)
United	99479	$376.98	1205155488 - OLGA LEMBERG	113737342 - (CA) DIGNITY HEALTH MEDICAL FOUNDATION	CA	Pediatrics Physician (208000000X)
United	99479	$114.51	1275546095 - PEDIATRIC MEDICAL ASSOCIATES OF TRI-CITY, INC., PEDIATRIC MEDICAL ASSOCIATES	330983084 - (CA) PEDIATRIC MEDICAL ASSOCIATES	CA	Pediatrics Physician (208000000X)
United	99479	$225.13	1194802512 - ALICE BROCK-UTNE	680360801 - (CA) JOHN MUIR PHYSICIAN NETWORK	CA	Pediatrics Physician (208000000X)
United	99479	$550.97	1982667663 - UC REGENTS, UCLA DEPT OF PEDIATRIC GRP PRACTICE	954372298	CA	Pediatrics Physician (208000000X)
United	99479	$140.80	1548335920 - NELOUFA MERRILL	953218000 - OMNI FAMILY HEALTH	CA	Pediatrics Physician (208000000X)
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

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CPT 99479 vs. Other Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services Codes

The CPT 99479 code is part of the Evaluation and Management services used for Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care 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 99479 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
99468	High	Initial Inpatient Neonatal Critical Care, Per Day, For The Evaluation And Management Of A Critically Ill Neonate, 28 Days Of Age Or Younger
99469	Moderate	Subsequent Inpatient Neonatal Critical Care, Per Day, For The Evaluation And Management Of A Critically Ill Neonate, 28 Days Of Age Or Younger
99477	Moderate	Initial Hospital Care, Per Day, For The Evaluation And Management Of The Neonate, 28 Days Of Age Or Younger, Who Requires Intensive Observation, Frequent Interventions, And Other Intensive Care Services
99479	Low	Subsequent Intensive Care Per Day For The Evaluation And Management Of The Recovering Low Birth Weight Infant (Present Body Weight Of 1500-2500 Grams)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99479. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 99479 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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