99418 Prolng inpatient/obs e/m each 15 minutes
Also known as: prolonged inpatient E/M add-on, extended hospital additional, prolonged hospital add-on
Prolonged inpatient or observation care evaluation and management service beyond the usual service; each additional 15 minutes of physician or qualified health professional time.
Clinical Context
Used to report each additional 15-minute increment of prolonged direct patient contact in inpatient or observation settings beyond the initial E&M code.
RVU Breakdown
| Work RVU | 0.81 |
| Practice Expense RVU | 0.18 |
| Malpractice RVU | 0.05 |
| Total RVU | 1.04 |
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.