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99253 inpatient/obs cnsltj new/established low 45

E&M

Also known as: hospital consultation low, inpatient specialist, hospital consult

Inpatient or observation hospital consultations for a new or established patient with low medical decision-making complexity and an expected time of 45 minutes.

Clinical Context

Used for hospital or observation consultations with low medical decision-making complexity, such as evaluation of specific acute problems or complications with relatively straightforward diagnostic and therapeutic approaches.

RVU Breakdown

Work RVU2.00
Practice Expense RVU0.84
Malpractice RVU0.12
Total RVU2.96

Est. Medicare Payment

$98.86

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

Specialties

Specialist PhysiciansHospital Medicine

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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.