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99452 Ntrprof ph1/ntrnet/ehr rfrl

E&M

Also known as: interprofessional referral consult, eConsult referral

Interprofessional consultation for initial referral, with review of electronic health record and communication with referring provider by physician or qualified healthcare professional.

Clinical Context

Used when a specialist provides initial consultation in response to referral via electronic health record system with communication back to referring provider.

RVU Breakdown

Work RVU0.70
Practice Expense RVU0.36
Malpractice RVU0.05
Total RVU1.11

Est. Medicare Payment

$37.07

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

Specialties

All SpecialtiesSpecialist ConsultationPrimary Care

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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.