99116 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Anes comp tot bdy hypthrm.
National Average Payment
Payment is bundled into the primary service.
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Code Description
Anes comp tot bdy hypthrm
Reimbursement Summary
CPT code 99116 (Anes comp tot bdy hypthrm) does not currently have a published national facility or non-facility reimbursement rate in 2026.
99116 is a CPT code in the category “Physician Service.” Medicare does not publish a single national payment amount for this code in 2026 (Bundled Code). Payment is bundled into the primary service.
Because payment may be bundled into another service, a standalone national payment amount may not apply. You can still use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool to research related codes and local context.
Q4 2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | 0 | 0 |
| Practice Expense (PE) | 0 | 0 |
| Malpractice (MP) | 0 | 0 |
| Total RVUs | 0.00 | 0.00 |
Are you being paid correctly for this code?
Compare a payment against the Medicare benchmark for this code.
Medicare rates are used as a benchmark only. Actual payer contracts, modifiers, place of service, units, and billing rules may affect reimbursement. This tool is for educational and operational review purposes, not legal or billing advice.
Facility vs. Non-Facility (Office) Payment
Medicare often publishes two payment rates for the same code: a **non-facility** rate (typically used when the service is performed in a private office where the clinician bears more overhead) and a **facility** rate (typically used when performed in a hospital or facility where the facility bills separately for its costs).
Because the practice expense portion of RVUs differs by setting, the non-facility and facility payment amounts can be different. For locality-adjusted estimates in 2026, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Learn How This Reimbursement Is Calculated
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Frequently Asked Questions
What is the 2026 Medicare rate for 99116?
Payment for 99116 may be bundled into another primary service, so a standalone national reimbursement rate may not apply (Payment is bundled into the primary service.).
What is the description for code 99116?
Anes comp tot bdy hypthrm
Why do facility and non-facility payments differ for 99116?
For many physician services, Medicare publishes different practice-expense RVUs by setting. In general, non-facility rates apply when services are performed in a private office, while facility rates apply when performed in a hospital or facility where the facility bills separately.
How can I find my local Medicare rate for 99116?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is 99116 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.
