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99464 Attendance at delivery

Evaluation & Management

Also known as: attendance at delivery, delivery attendance, obstetric attendance

Attendance at delivery and management of complications related to delivery process; includes initial care and resuscitation of newborn if needed.

In Plain Language

doctor's presence at your baby's birth

Clinical Context

Used when physician or qualified practitioner is present at delivery to manage labor/delivery complications and provide immediate newborn assessment and initial care.

RVU Breakdown

Work RVU1.50
Total RVU1.50

Est. Medicare Payment

$50.10

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 1.50, this code ranks in the 50th percentile among Evaluation & Management codes — 1.0x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

ObstetricsFamily MedicineMidwifery

Frequently Asked Questions

What is CPT code 99464?

CPT 99464 (Attendance at delivery) is a Evaluation & Management code. Attendance at delivery and management of complications related to delivery process; includes initial care and resuscitation of newborn if needed.

Who uses CPT code 99464?

CPT 99464 is used by Obstetrics, Family Medicine, Midwifery. Used when physician or qualified practitioner is present at delivery to manage labor/delivery complications and provide immediate newborn assessment and initial care.

When is CPT 99464 used?

Used when physician or qualified practitioner is present at delivery to manage labor/delivery complications and provide immediate newborn assessment and initial care.

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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.