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99463 Same day nb discharge

Evaluation & Management

Also known as: same-day newborn discharge, newborn admit-discharge

Initial and same-day discharge history and physical examination and resuscitation or stabilization services for newborn admission and discharge on the same calendar day.

In Plain Language

doctor's exam and discharge of newborn all on same day

Clinical Context

Used when newborn is admitted to hospital and discharged on same day (e.g., uncomplicated vaginal delivery with mother), with full initial evaluation.

RVU Breakdown

Work RVU2.13
Total RVU2.13

Est. Medicare Payment

$71.14

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 2.13, this code ranks in the 70th percentile among Evaluation & Management codes — 1.4x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

NeonatologyPediatricsObstetrics

Frequently Asked Questions

What is CPT code 99463?

CPT 99463 (Same day nb discharge) is a Evaluation & Management code. Initial and same-day discharge history and physical examination and resuscitation or stabilization services for newborn admission and discharge on the same calendar day.

Who uses CPT code 99463?

CPT 99463 is used by Neonatology, Pediatrics, Obstetrics. Used when newborn is admitted to hospital and discharged on same day (e.g., uncomplicated vaginal delivery with mother), with full initial evaluation.

When is CPT 99463 used?

Used when newborn is admitted to hospital and discharged on same day (e.g., uncomplicated vaginal delivery with mother), with full initial evaluation.

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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.