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99486 Suprv interfac trnsport additional

Evaluation & Management +Add-on

Also known as: transport supervision additional, extended transfer

Supervision of interfacility transport for each additional 30 minutes of physician or qualified healthcare professional face-to-face contact during critically ill patient transport.

In Plain Language

continued doctor supervision during long hospital transfer

Clinical Context

Used for prolonged critical care transport requiring extended physician supervision beyond initial 30-minute period for complex or lengthy transfers.

RVU Breakdown

Work RVU1.30
Total RVU1.30

Est. Medicare Payment

$43.42

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.

How This Code Compares

With a work RVU of 1.30, this code ranks in the 38th percentile among Evaluation & Management codes — 1.2x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

Critical CareEmergency Medicine

Frequently Asked Questions

What is CPT code 99486?

CPT 99486 (Suprv interfac trnsport additional) is a Evaluation & Management code. Supervision of interfacility transport for each additional 30 minutes of physician or qualified healthcare professional face-to-face contact during critically ill patient transport.

Who uses CPT code 99486?

CPT 99486 is used by Critical Care, Emergency Medicine. Used for prolonged critical care transport requiring extended physician supervision beyond initial 30-minute period for complex or lengthy transfers.

When is CPT 99486 used?

Used for prolonged critical care transport requiring extended physician supervision beyond initial 30-minute period for complex or lengthy transfers.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.