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99221 first hosp inpatient/obs sf/low 40

E&M

Also known as: initial hospital admission, hospital inpatient, first day hospital, initial hospital admit level 1, hospital admission straightforward

Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient with straightforward or low medical decision-making complexity.

Clinical Context

Used for the initial evaluation and management of a patient admitted to an inpatient hospital setting or observation status with straightforward or low medical complexity.

RVU Breakdown

Work RVU1.63
Practice Expense RVU0.41
Malpractice RVU0.19
Total RVU2.23

Est. Medicare Payment

$74.48

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

Specialties

Internal MedicineHospital MedicineAll Specialties

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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.