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99291 Critical care first hour

E&M

Also known as: critical care, ICU care, critical illness, critical care first hour, ICU care first hour

Evaluation and management of the critically ill or critically injured patient; first 30 to 74 minutes of physician or qualified health professional time spent directly at bedside and on the patient's hospital care.

Clinical Context

Used for critically ill or critically injured patients requiring comprehensive evaluation and management in intensive care settings, including continuous physiological monitoring and complex therapeutic interventions.

RVU Breakdown

Work RVU4.50
Practice Expense RVU4.29
Malpractice RVU0.46
Total RVU9.25

Est. Medicare Payment

$308.95

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

Specialties

Critical CareHospital MedicineEmergency 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.