99459 Pelvic examination
Also known as: pelvic exam, gynecological exam, pelvic assessment
Pelvic examination and assessment, typically performed during preventive evaluation or for gynecological complaint evaluation.
In Plain Language
gynecological examination
Clinical Context
Used when physician performs pelvic examination during preventive care visit or for evaluation of gynecological symptoms in female patients.
RVU Information
CPT 99459 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 99459?
CPT 99459 (Pelvic examination) is a Evaluation & Management code. Pelvic examination and assessment, typically performed during preventive evaluation or for gynecological complaint evaluation.
Who uses CPT code 99459?
CPT 99459 is used by Obstetrics/Gynecology, Family Medicine, Internal Medicine. Used when physician performs pelvic examination during preventive care visit or for evaluation of gynecological symptoms in female patients.
When is CPT 99459 used?
Used when physician performs pelvic examination during preventive care visit or for evaluation of gynecological symptoms in female patients.
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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.