99254 inpatient/obs cnsltj new/established mod 60
Also known as: hospital consultation moderate, complex inpatient consult, hospital specialist
Inpatient or observation hospital consultations for a new or established patient with moderate medical decision-making complexity and an expected time of 60 minutes.
Clinical Context
Used for hospital or observation consultations requiring moderate medical decision-making complexity, such as evaluation of multiple acute problems or complicated single conditions affecting hospitalized patients.
RVU Breakdown
| Work RVU | 2.72 |
| Practice Expense RVU | 1.23 |
| Malpractice RVU | 0.17 |
| Total RVU | 4.12 |
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.