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CPT 99467: In-Person Care for Critically Ill Infant During Transport

CPT code 99467 represents in-person clinical accompaniment and care of a critically ill or injured child aged two years or younger during interfacility transport. This code documents a specialized, high-acuity service provided by trained clinicians to maintain patient stability and deliver necessary interventions while moving between facilities. Nationally, accurate use of this code supports consistent capture of resource-intensive pediatric transport services and informs payment and quality measurement for neonatal and infant critical care.

Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for the service, the typical site of service, and the types of benchmarks and policy topics commonly associated with transport-accompaniment codes. The publication outlines reimbursement and utilization benchmarks, relevant policy updates affecting transport and critical-care coding, and operational considerations for documenting time and interventions during transport.

The content provides clarity on how CPT code 99467 fits within pediatric critical care workflows, what aspects of service it captures, and where stakeholders typically focus when assessing coverage, coding accuracy, and program design. Data not available in the input are noted where applicable and excluded from the discussion.

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Billing Code Overview

CPT code 99467 describes the in-person accompaniment and care provided by a clinician for a critically ill or injured child who is two years of age or younger during interfacility transport. This service covers hands-on clinical management, monitoring, and interventions provided while the patient is transported from one facility to another.

Service type: Critical care/transport accompaniment
Typical site of service: Interfacility transport between healthcare facilities (in-person, during transfer)

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CPT 99467: In-Person Care for Critically Ill Infant During Transport

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Billing Code Overview

Service type: Critical care/transport accompaniment
Typical site of service: Interfacility transport between healthcare facilities (in-person, during transfer)

Clinical & Coding Specifications

Clinical Context

A critically ill 9-month-old infant with severe bronchiolitis requires transfer from a community hospital emergency department to a tertiary pediatric intensive care unit for advanced respiratory support. The attending pediatric intensivist or neonatal/pediatric transport physician accompanies the child in person on an ambulance or air transport (rotor or fixed wing) to provide continuous critical care during transfer. The workflow begins with acceptance by the receiving facility, stabilization and preparation at the sending site (airway management, IV/IO access, medication bolus, initiation of noninvasive or invasive ventilation as indicated), and handoff to the transport team. The transporting physician documents time spent accompanying the patient in transit, interventions performed (intubation, medication administration, ventilator management, hemodynamic support), and the handover at arrival to the receiving PICU team. This service is billed when the physician physically accompanies and provides critical care to a child two years of age or younger during interfacility transport, consistent with requirements for 99467.

Coding Specifications

Modifier	Description	When to Use
`11`	Physician or practitioner billing for usual services	Use when the service is the provider's typical service and no unusual circumstances apply
`22`	Increased procedural service	Use when documented work is substantially greater than typical for the transport (complex stabilization, multiple invasive procedures)
`23`	Unusual anesthesia	Use if general anesthesia was required for transport procedures and is separately reportable
`25`	Significant, separately identifiable evaluation and management service on same day	Use if a distinct ED or inpatient E/M occurred in addition to the transport service
`52`	Reduced services	Use when transport service was partially reduced or shortened and fully documenting reduction of work
`53`	Discontinued procedure	Use if transport was initiated but cancelled en route for documented reasons (e.g., return to sending facility)
`62`	Two surgeons or split surgical care	Rarely used; applicable if two physicians equally share transport responsibility and documentation supports split services
`78`	Unplanned return to the operating/procedural suite	Use if patient required urgent return to an OR-level procedure during or immediately after transport and reporting guidelines require linkage
`80`	Assistant surgeon	Use if a documented assistant physician provided hands-on care during transport and payer allows reporting for this CPT context
`AS`	Physician assistant, nurse practitioner, clinical nurse specialist, or other assistant	Use when an advanced practice clinician provided the transport service under applicable supervision/coverage rules and payer supports `AS` reporting
`QK`	Medical direction of two, three, or four concurrent anesthesia procedures	Use if anesthesiologist medically directed concurrent anesthesia during transport-related procedures (applicable only when anesthesia services are part of the encounter)

Taxonomy Code	Specialty	Notes
`207L00000X`	Pediatric Critical Care Medicine	Typical specialists who accompany critically ill infants for interfacility transport
`2080P0206X`	Neonatal-Perinatal Medicine	Neonatologists frequently perform neonatal/infant transports from community hospitals
`208000000X`	Pediatrics	General pediatricians may participate in transport when subspecialty coverage is limited
`2084P0800X`	Emergency Medicine	Emergency physicians may accompany or stabilize patients prior to and during transfer
`3336C0005X`	Transport Medicine (emerging taxonomy)	Providers specializing in critical care transport operations and medical direction

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`P22.0`	Respiratory distress syndrome of newborn	Common cause of neonatal respiratory failure requiring interfacility transfer and physician-accompanied transport
`J21.0`	Acute bronchiolitis due to respiratory syncytial virus	Frequent cause of severe respiratory distress in infants leading to transfer for higher-level respiratory support
`P28.5`	Respiratory failure of newborn	Indicates need for advanced respiratory support and possible transport with physician accompaniment
`P07.30`	Preterm newborn, unspecified weeks of gestation	Prematurity often complicates respiratory and hemodynamic status prompting transfer to NICU
`R57.9`	Shock, unspecified	Hemodynamic instability in infants may necessitate physician-accompanied interfacility transfer
`P29.3`	Persistent pulmonary hypertension of newborn	Severe cardiopulmonary compromise requiring specialized care at tertiary centers and transport
`P96.2`	Sepsis of newborn	Critically ill infants with sepsis frequently require escalation of care and physician-accompanied transport

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`31500`	Intubation, endotracheal, emergency procedure	Performed prior to or during transport when securing airway is required for the critically ill infant
`36556`	Insertion of non-tunneled centrally inserted central venous catheter (non-tunneled)	May be performed during stabilization before transport for vasoactive infusions or monitoring
`94002`	Ventilation assist and management, initiation of pressure or volume preset ventilators for neonatal/pediatric critical care (initial day)	Billed for initiation and management of mechanical ventilation often required during the interfacility transport
`99466`	Critical care, evaluation and management of the critically ill or critically injured pediatric patient, face-to-face, 46-60 minutes	Used for bedside critical care at the sending or receiving facility when time and setting meet `99466` criteria; complements `99467` when transport accompaniment is separate
`99291`	Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes	Applicable when critical care is provided in the sending facility or receiving facility separate from transport accompaniment

CPT 99466: Accompaniment and Care During Interfacility Transport of Critically Ill Child

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`11`	Physician or practitioner billing for usual services	Use when the service is the provider's typical service and no unusual circumstances apply
`22`	Increased procedural service	Use when documented work is substantially greater than typical for the transport (complex stabilization, multiple invasive procedures)
`23`	Unusual anesthesia	Use if general anesthesia was required for transport procedures and is separately reportable
`25`	Significant, separately identifiable evaluation and management service on same day	Use if a distinct ED or inpatient E/M occurred in addition to the transport service
`52`	Reduced services	Use when transport service was partially reduced or shortened and fully documenting reduction of work
`53`	Discontinued procedure	Use if transport was initiated but cancelled en route for documented reasons (e.g., return to sending facility)
`62`	Two surgeons or split surgical care	Rarely used; applicable if two physicians equally share transport responsibility and documentation supports split services
`78`	Unplanned return to the operating/procedural suite	Use if patient required urgent return to an OR-level procedure during or immediately after transport and reporting guidelines require linkage
`80`	Assistant surgeon	Use if a documented assistant physician provided hands-on care during transport and payer allows reporting for this CPT context
`AS`	Physician assistant, nurse practitioner, clinical nurse specialist, or other assistant	Use when an advanced practice clinician provided the transport service under applicable supervision/coverage rules and payer supports `AS` reporting
`QK`	Medical direction of two, three, or four concurrent anesthesia procedures	Use if anesthesiologist medically directed concurrent anesthesia during transport-related procedures (applicable only when anesthesia services are part of the encounter)

Taxonomy Code	Specialty	Notes
`207L00000X`	Pediatric Critical Care Medicine	Typical specialists who accompany critically ill infants for interfacility transport
`2080P0206X`	Neonatal-Perinatal Medicine	Neonatologists frequently perform neonatal/infant transports from community hospitals
`208000000X`	Pediatrics	General pediatricians may participate in transport when subspecialty coverage is limited
`2084P0800X`	Emergency Medicine	Emergency physicians may accompany or stabilize patients prior to and during transfer
`3336C0005X`	Transport Medicine (emerging taxonomy)	Providers specializing in critical care transport operations and medical direction

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`P22.0`	Respiratory distress syndrome of newborn	Common cause of neonatal respiratory failure requiring interfacility transfer and physician-accompanied transport
`J21.0`	Acute bronchiolitis due to respiratory syncytial virus	Frequent cause of severe respiratory distress in infants leading to transfer for higher-level respiratory support
`P28.5`	Respiratory failure of newborn	Indicates need for advanced respiratory support and possible transport with physician accompaniment
`P07.30`	Preterm newborn, unspecified weeks of gestation	Prematurity often complicates respiratory and hemodynamic status prompting transfer to NICU
`R57.9`	Shock, unspecified	Hemodynamic instability in infants may necessitate physician-accompanied interfacility transfer
`P29.3`	Persistent pulmonary hypertension of newborn	Severe cardiopulmonary compromise requiring specialized care at tertiary centers and transport
`P96.2`	Sepsis of newborn	Critically ill infants with sepsis frequently require escalation of care and physician-accompanied transport

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`31500`	Intubation, endotracheal, emergency procedure	Performed prior to or during transport when securing airway is required for the critically ill infant
`36556`	Insertion of non-tunneled centrally inserted central venous catheter (non-tunneled)	May be performed during stabilization before transport for vasoactive infusions or monitoring
`94002`	Ventilation assist and management, initiation of pressure or volume preset ventilators for neonatal/pediatric critical care (initial day)	Billed for initiation and management of mechanical ventilation often required during the interfacility transport
`99466`	Critical care, evaluation and management of the critically ill or critically injured pediatric patient, face-to-face, 46-60 minutes	Used for bedside critical care at the sending or receiving facility when time and setting meet `99466` criteria; complements `99467` when transport accompaniment is separate
`99291`	Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes	Applicable when critical care is provided in the sending facility or receiving facility separate from transport accompaniment

CPT 99466: Accompaniment and Care During Interfacility Transport of Critically Ill Child

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 99467: In-Person Care for Critically Ill Infant During Transport

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Billing Code Overview

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CPT 99467: In-Person Care for Critically Ill Infant During Transport

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References