99452 Ntrprof ph1/ntrnet/ehr rfrl
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.
In Plain Language
specialist review of your referral through health records
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 RVU | 0.70 |
| Total RVU | 0.70 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
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
With a work RVU of 0.70, this code ranks in the 15th percentile among Evaluation & Management codes — 2.2x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99452?
CPT 99452 (Ntrprof ph1/ntrnet/ehr rfrl) is a Evaluation & Management code. Interprofessional consultation for initial referral, with review of electronic health record and communication with referring provider by physician or qualified healthcare professional.
Who uses CPT code 99452?
CPT 99452 is used by All Specialties, Specialist Consultation, Primary Care. Used when a specialist provides initial consultation in response to referral via electronic health record system with communication back to referring provider.
When is CPT 99452 used?
Used when a specialist provides initial consultation in response to referral via electronic health record system with communication back to referring provider.
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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.