99472 Pediatric critical care subsq
Also known as: pediatric critical care daily, PICU daily care
Subsequent critical care evaluation and management of child (pediatric patient age 2 years and older) per calendar day in intensive care unit setting.
In Plain Language
ongoing intensive care for sick child each day
Clinical Context
Used for daily critical care management of hospitalized children age 2 and older, including ongoing assessment, monitoring, and therapeutic interventions.
RVU Breakdown
| Work RVU | 7.99 |
| Total RVU | 7.99 |
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 7.99, this code ranks in the 98th percentile among Evaluation & Management codes — 5.2x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99472?
CPT 99472 (Pediatric critical care subsq) is a Evaluation & Management code. Subsequent critical care evaluation and management of child (pediatric patient age 2 years and older) per calendar day in intensive care unit setting.
Who uses CPT code 99472?
CPT 99472 is used by Pediatrics, Critical Care. Used for daily critical care management of hospitalized children age 2 and older, including ongoing assessment, monitoring, and therapeutic interventions.
When is CPT 99472 used?
Used for daily critical care management of hospitalized children age 2 and older, including ongoing assessment, monitoring, and therapeutic interventions.
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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.