99455 Work related disability examination
Also known as: work comp exam, occupational disability exam, work-related exam
Work-related or occupational disability evaluation examination performed by treating physician; includes detailed assessment for work-related injury or illness determination.
In Plain Language
doctor's evaluation of your work-related injury or illness
Clinical Context
Used when physician performs comprehensive evaluation and documentation of patient's work capacity and disability status related to occupational injury or disease.
RVU Information
CPT 99455 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
Frequently Asked Questions
What is CPT code 99455?
CPT 99455 (Work related disability examination) is a Evaluation & Management code. Work-related or occupational disability evaluation examination performed by treating physician; includes detailed assessment for work-related injury or illness determination.
Who uses CPT code 99455?
CPT 99455 is used by Occupational Medicine, Internal Medicine, Orthopedic Surgery. Used when physician performs comprehensive evaluation and documentation of patient's work capacity and disability status related to occupational injury or disease.
When is CPT 99455 used?
Used when physician performs comprehensive evaluation and documentation of patient's work capacity and disability status related to occupational injury or disease.
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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.