99223 first hosp inpatient/obs high 75
Also known as: initial hospital complex, high acuity admission, complex inpatient, initial hospital admit level 3, hospital admission high complexity
Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient with high medical decision-making complexity.
Clinical Context
Used for initial hospital or observation admission requiring high medical decision-making complexity, such as critically ill patients, multiple acute conditions, or complex diagnostic and therapeutic planning.
RVU Breakdown
| Work RVU | 3.50 |
| Practice Expense RVU | 0.90 |
| Malpractice RVU | 0.28 |
| Total RVU | 4.68 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
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.