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99450 Basic life disability examination

Evaluation & Management

Also known as: disability exam, work comp exam, LND exam

Basic life and disability evaluation examination performed by treating physician for disability determination; includes history, examination, and medical decision-making.

In Plain Language

doctor's evaluation to determine disability status

Clinical Context

Used when physician performs comprehensive evaluation to establish or verify patient's disability status for life insurance, disability benefits, or work-related purposes.

RVU Information

CPT 99450 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.

How This Code Compares

This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Evaluation & Management category, 8% of codes share this characteristic.

Specialties

Occupational MedicineFamily MedicineInternal Medicine

Frequently Asked Questions

What is CPT code 99450?

CPT 99450 (Basic life disability examination) is a Evaluation & Management code. Basic life and disability evaluation examination performed by treating physician for disability determination; includes history, examination, and medical decision-making.

Who uses CPT code 99450?

CPT 99450 is used by Occupational Medicine, Family Medicine, Internal Medicine. Used when physician performs comprehensive evaluation to establish or verify patient's disability status for life insurance, disability benefits, or work-related purposes.

When is CPT 99450 used?

Used when physician performs comprehensive evaluation to establish or verify patient's disability status for life insurance, disability benefits, or work-related purposes.

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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.