NFPA 99 Code 2026
1.1.4.2 The following areas are not addressed in this code, (1) Specific requirements for wiring and installation of electrical systems and
but area addressed in other NFPA documents components thereof are covered in NFPA 70
(2) Requirements for illumination and identification of means of egress in health
care facilities are covered in NFPA 101
(3) Requirements for installation, testing, and maintenance of fire protection
signaling systems are covered in NFPA 72
(4) Requirements for installation of fire pumps are covered in NFPA 20, except that
the alternate power source is permitted to be the essential electrical system
(5) Requirements for installation of stationary engines and gas turbines are covered
in NFPA 37
1.2 Purpose to provide minimum requirements for the installation, inspection, testing,
maintenance, performance, and safe practices for facilities, material, equipment,
and appliances
1.3.2.3 Continued use of an existing system that is .
noncompliant with the requirements of this code shall be
permitted unless the authority having jurisdiction has
determined that such poses a distinct hazard to life.
1.3.3 Policies .
1.3.3.1 The health care organization shall ensure that
policies are established and maintained that permit the
attending medical professional to supersede the
requirements of this code in order to satisfy the emergency
needs of the patient
1.3.3 Policies .
1.3.3.2. Each application of the provisions of 1.3.3.1,
where this code's requirements are suspended to satisfy
the emergency needs of a patient, shall be clearly
documented and reviewed with the intent of meeting
similar future needs within the requirements of this code
1.3.4 Patient Care Spaces (1) Category 1 spaces
1.3.4.1 The health care facility's governing body or it's (2) Category 2 spaces
designee shall establish the following areas in accordance (3) Category 3 spaces
with the type of patient care anticipated (4) Category 4 spaces
1.4.3 The authority having jurisdiction shall be permitted to .
grant exceptions to this code
2.1 General (1) Documents referenced in this chapter, or portion of such documents, shall only
The documents referenced in this chapter, or portions of be applicable to the extent called for within other chapters of this code
such documents, are referenced within this code and shall (2) Where the requirements of a referenced code or standard differ from the
be considered part of the requirements of this code, and requirements of this code, the requirements of this code shall govern.
the following shall also apply (3) Existing buildings or installations that do not comply with the provisions of the
codes or standards referenced in this chapter shall be permitted to be conformity
with these documents does not present a serious hazard to the occupants as
determined by the authority having jurisdiction.
2.2 Compressed Gases and Cryogenic Fluids Code, 2023 edition
NFPA 55
2.2 National Electrical Code, 2023 edition
NFPA 70
2.2 Life Safety Code, 2024 edition
NFPA 101
, NFPA 99 Code 2026
2.3.3 Ventilation of Health Care Facilities, 2021, Addenda c, d, e, f, g, and h
ASHRAE 170
2.3.5 Professional Qualifications Standard for Medical Gas Systems Installers, 2021
ASSE/IAPMO/ANSI 6010
2.3.5 Professional Qualifications Standard for Bulk Medical Gas/Cryogenic Fluid Central
ASSE/IAPMO/ANSI 6015 Supply Systems Installers, 2021
2.3.5 Professional Qualifications Standard for Medical Gas Systems Inspectors, 2021
ASSE/IAPMO/ANSI 6020
2.3.5 Professional Qualifications Standard for Medical Gas Systems Verifiers, 2021
ASSE/IAPMO/ANSI 6030
2.3.5 Professional Qualifications Standard for Bulk Medical Gas/Cryogenic Fluid Central
ASSE/IAPMO/ANSI 6035 Supply Systems Verifiers, 2021
2.3.5 Professional Qualifications Standard for Bulk Medical Gas Systems Maintenance
ASSE/IAPMO/ANSI 6040 Personnel, 2021
2.3.5 Professional Qualifications Standard for Bulk Medical Gas Systems Designers,
ASSE/IAPMO/ANSI 6060 2021
2.3.6 Standard Specification for Seamless Copper Water Tube, 2020
ASTM B88
2.3.6 Standard Specification for Seamless Copper Tube for Air Conditioning and
ASTM B280 Refrigeration Field Service, 2020
2.3.6 Standard Specification for Seamless Copper Tube for Medical Gas Systems, 2019
ASTM B819
2.3.7 Specification for Filler Metals for Brazing and Braze Welding, 2019
ANSI/AWS A5.8M/A5.8
2.3.7 Specification for Brazing Procedure and Performance Qualification, 2016
AWS B2.2/B2.2M
2.3.9 Copper Development Association Inc., 7918 Jones Branch Dr., Suite 300, McLean,
CDA Publications VA 22102
2.3.10 Guide to Classification and Labeling of Compressed Gases, 2020
CGA C-7
, NFPA 99 Code 2026
2.3.10 Cleaning Equipment for Oxygen Service, 2018
CGA G-4.1
2.3.10 Standard for Medical Gas Supply Systems at Health Care Facilities, 2018
CGA M-1
2.3.10 Standard for Diameter Index Safety System (Noninterchangeable Low Pressure
CGA V-5 Connections for Medical Gas Applications), 2019
2.3.12 FGI Publications Guidelines for Design and Construction of Hospitals, 2022
Facility Guidelines Institute, 9750 Fall Ridge Trail, St. Guidelines for Design and Construction of Outpatient Facilities, 2022
Louis, MO 63127 Guidelines for Design and Construction of Residential Health, Care, and Support
Facilities, 2022
2.3.21 USP Publications Monograph: Oxygen USP
US Pharmacopeia, 12601 Twinbrook Parkway, Rockville, Monograph: Oxygen USP 93
MD 20852-1790
3.2.1 Acceptable to the authority having jurisdiction
Approved
3.2.2 An organization, office, or individual responsible for enforcing the requirements of a
Authority Having Jurisdiction (AHJ) code or standard, or for approving equipment, materials, an installation, or a
procedure.
3.2.3 A standard that is an extensive compilation of provisions covering broad subject
Code matter or that is suitable for adoption into law independently of other codes and
standards.
3.2.4 An NFPA standard that is advisory or informative in nature and that contains only
Guide nonmandatory provisions. A guide may contain mandatory statements such as
when a guide can be used, but the NFPA standard as a whole is not suitable for
adoption into law
3.2.5 Equipment or materials to which has been attached a label, symbol, or other
Labeled identifying mark of an organization that is acceptable to the authority having
jurisdiction and concerned with product evaluation, that maintains periodic
inspection of production of labeled equipment or materials, and by whose labeling
the manufacturer indicates compliance with appropriate standards or performance
in a specified manner.
3.2.6 Equipment, materials, or services included in a list published by an organization that
Listed is acceptable to the authority having jurisdiction and concerned with evaluation of
products or services, that maintains periodic inspection of production of listed
equipment or materials or periodic evaluation of services, and whose listing states
that either the equipment, material, or service meets appropriate designated
standards or has been tested and found suitable for a specified purpose.
3.2.7 Indicates a mandatory requirement.
Shall
3.2.8 Indicates a recommendation or that which is advised but not required.
Should
1.1.4.2 The following areas are not addressed in this code, (1) Specific requirements for wiring and installation of electrical systems and
but area addressed in other NFPA documents components thereof are covered in NFPA 70
(2) Requirements for illumination and identification of means of egress in health
care facilities are covered in NFPA 101
(3) Requirements for installation, testing, and maintenance of fire protection
signaling systems are covered in NFPA 72
(4) Requirements for installation of fire pumps are covered in NFPA 20, except that
the alternate power source is permitted to be the essential electrical system
(5) Requirements for installation of stationary engines and gas turbines are covered
in NFPA 37
1.2 Purpose to provide minimum requirements for the installation, inspection, testing,
maintenance, performance, and safe practices for facilities, material, equipment,
and appliances
1.3.2.3 Continued use of an existing system that is .
noncompliant with the requirements of this code shall be
permitted unless the authority having jurisdiction has
determined that such poses a distinct hazard to life.
1.3.3 Policies .
1.3.3.1 The health care organization shall ensure that
policies are established and maintained that permit the
attending medical professional to supersede the
requirements of this code in order to satisfy the emergency
needs of the patient
1.3.3 Policies .
1.3.3.2. Each application of the provisions of 1.3.3.1,
where this code's requirements are suspended to satisfy
the emergency needs of a patient, shall be clearly
documented and reviewed with the intent of meeting
similar future needs within the requirements of this code
1.3.4 Patient Care Spaces (1) Category 1 spaces
1.3.4.1 The health care facility's governing body or it's (2) Category 2 spaces
designee shall establish the following areas in accordance (3) Category 3 spaces
with the type of patient care anticipated (4) Category 4 spaces
1.4.3 The authority having jurisdiction shall be permitted to .
grant exceptions to this code
2.1 General (1) Documents referenced in this chapter, or portion of such documents, shall only
The documents referenced in this chapter, or portions of be applicable to the extent called for within other chapters of this code
such documents, are referenced within this code and shall (2) Where the requirements of a referenced code or standard differ from the
be considered part of the requirements of this code, and requirements of this code, the requirements of this code shall govern.
the following shall also apply (3) Existing buildings or installations that do not comply with the provisions of the
codes or standards referenced in this chapter shall be permitted to be conformity
with these documents does not present a serious hazard to the occupants as
determined by the authority having jurisdiction.
2.2 Compressed Gases and Cryogenic Fluids Code, 2023 edition
NFPA 55
2.2 National Electrical Code, 2023 edition
NFPA 70
2.2 Life Safety Code, 2024 edition
NFPA 101
, NFPA 99 Code 2026
2.3.3 Ventilation of Health Care Facilities, 2021, Addenda c, d, e, f, g, and h
ASHRAE 170
2.3.5 Professional Qualifications Standard for Medical Gas Systems Installers, 2021
ASSE/IAPMO/ANSI 6010
2.3.5 Professional Qualifications Standard for Bulk Medical Gas/Cryogenic Fluid Central
ASSE/IAPMO/ANSI 6015 Supply Systems Installers, 2021
2.3.5 Professional Qualifications Standard for Medical Gas Systems Inspectors, 2021
ASSE/IAPMO/ANSI 6020
2.3.5 Professional Qualifications Standard for Medical Gas Systems Verifiers, 2021
ASSE/IAPMO/ANSI 6030
2.3.5 Professional Qualifications Standard for Bulk Medical Gas/Cryogenic Fluid Central
ASSE/IAPMO/ANSI 6035 Supply Systems Verifiers, 2021
2.3.5 Professional Qualifications Standard for Bulk Medical Gas Systems Maintenance
ASSE/IAPMO/ANSI 6040 Personnel, 2021
2.3.5 Professional Qualifications Standard for Bulk Medical Gas Systems Designers,
ASSE/IAPMO/ANSI 6060 2021
2.3.6 Standard Specification for Seamless Copper Water Tube, 2020
ASTM B88
2.3.6 Standard Specification for Seamless Copper Tube for Air Conditioning and
ASTM B280 Refrigeration Field Service, 2020
2.3.6 Standard Specification for Seamless Copper Tube for Medical Gas Systems, 2019
ASTM B819
2.3.7 Specification for Filler Metals for Brazing and Braze Welding, 2019
ANSI/AWS A5.8M/A5.8
2.3.7 Specification for Brazing Procedure and Performance Qualification, 2016
AWS B2.2/B2.2M
2.3.9 Copper Development Association Inc., 7918 Jones Branch Dr., Suite 300, McLean,
CDA Publications VA 22102
2.3.10 Guide to Classification and Labeling of Compressed Gases, 2020
CGA C-7
, NFPA 99 Code 2026
2.3.10 Cleaning Equipment for Oxygen Service, 2018
CGA G-4.1
2.3.10 Standard for Medical Gas Supply Systems at Health Care Facilities, 2018
CGA M-1
2.3.10 Standard for Diameter Index Safety System (Noninterchangeable Low Pressure
CGA V-5 Connections for Medical Gas Applications), 2019
2.3.12 FGI Publications Guidelines for Design and Construction of Hospitals, 2022
Facility Guidelines Institute, 9750 Fall Ridge Trail, St. Guidelines for Design and Construction of Outpatient Facilities, 2022
Louis, MO 63127 Guidelines for Design and Construction of Residential Health, Care, and Support
Facilities, 2022
2.3.21 USP Publications Monograph: Oxygen USP
US Pharmacopeia, 12601 Twinbrook Parkway, Rockville, Monograph: Oxygen USP 93
MD 20852-1790
3.2.1 Acceptable to the authority having jurisdiction
Approved
3.2.2 An organization, office, or individual responsible for enforcing the requirements of a
Authority Having Jurisdiction (AHJ) code or standard, or for approving equipment, materials, an installation, or a
procedure.
3.2.3 A standard that is an extensive compilation of provisions covering broad subject
Code matter or that is suitable for adoption into law independently of other codes and
standards.
3.2.4 An NFPA standard that is advisory or informative in nature and that contains only
Guide nonmandatory provisions. A guide may contain mandatory statements such as
when a guide can be used, but the NFPA standard as a whole is not suitable for
adoption into law
3.2.5 Equipment or materials to which has been attached a label, symbol, or other
Labeled identifying mark of an organization that is acceptable to the authority having
jurisdiction and concerned with product evaluation, that maintains periodic
inspection of production of labeled equipment or materials, and by whose labeling
the manufacturer indicates compliance with appropriate standards or performance
in a specified manner.
3.2.6 Equipment, materials, or services included in a list published by an organization that
Listed is acceptable to the authority having jurisdiction and concerned with evaluation of
products or services, that maintains periodic inspection of production of listed
equipment or materials or periodic evaluation of services, and whose listing states
that either the equipment, material, or service meets appropriate designated
standards or has been tested and found suitable for a specified purpose.
3.2.7 Indicates a mandatory requirement.
Shall
3.2.8 Indicates a recommendation or that which is advised but not required.
Should
