99460 initial nb em per day hosp
Also known as: initial newborn exam, newborn H&P, newborn admission
Initial history and physical examination for newborn care performed by physician per calendar day in hospital setting.
In Plain Language
doctor's first examination of your newborn in the hospital
Clinical Context
Used when physician performs comprehensive initial evaluation of newborn immediately after delivery in hospital, including assessment for birth defects and maternal conditions.
RVU Breakdown
| Work RVU | 1.92 |
| Total RVU | 1.92 |
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 1.92, this code ranks in the 65th percentile among Evaluation & Management codes — 1.2x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99460?
CPT 99460 (initial nb em per day hosp) is a Evaluation & Management code. Initial history and physical examination for newborn care performed by physician per calendar day in hospital setting.
Who uses CPT code 99460?
CPT 99460 is used by Pediatrics, Obstetrics, Neonatology. Used when physician performs comprehensive initial evaluation of newborn immediately after delivery in hospital, including assessment for birth defects and maternal conditions.
When is CPT 99460 used?
Used when physician performs comprehensive initial evaluation of newborn immediately after delivery in hospital, including assessment for birth defects and maternal conditions.
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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.