99456 Disability examination
Also known as: disability evaluation, disability exam, impairment rating
Disability examination evaluation by treating physician for determination of disability status, eligibility, and work limitations; includes comprehensive clinical assessment.
In Plain Language
medical evaluation to determine your ability to work
Clinical Context
Used when physician conducts formal evaluation to document patient's functional status and disability for social security, disability insurance, or employer purposes.
RVU Information
CPT 99456 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 99456?
CPT 99456 (Disability examination) is a Evaluation & Management code. Disability examination evaluation by treating physician for determination of disability status, eligibility, and work limitations; includes comprehensive clinical assessment.
Who uses CPT code 99456?
CPT 99456 is used by Family Medicine, Internal Medicine, Occupational Medicine. Used when physician conducts formal evaluation to document patient's functional status and disability for social security, disability insurance, or employer purposes.
When is CPT 99456 used?
Used when physician conducts formal evaluation to document patient's functional status and disability for social security, disability insurance, or employer 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.