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99476 Pediatric critical care age 2-5 subsq

Evaluation & Management

Also known as: pediatric critical care age 2-5 daily, PICU preschool daily

Subsequent critical care evaluation and management of child age 2-5 years per calendar day in intensive care unit setting.

In Plain Language

ongoing intensive care for preschool child each day

Clinical Context

Used for daily critical care management of children age 2-5 years in intensive care unit, including ongoing assessment, monitoring, and treatment.

RVU Breakdown

Work RVU6.75
Total RVU6.75

Est. Medicare Payment

$225.45

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 6.75, this code ranks in the 96th percentile among Evaluation & Management codes — 4.4x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

PediatricsCritical Care

Frequently Asked Questions

What is CPT code 99476?

CPT 99476 (Pediatric critical care age 2-5 subsq) is a Evaluation & Management code. Subsequent critical care evaluation and management of child age 2-5 years per calendar day in intensive care unit setting.

Who uses CPT code 99476?

CPT 99476 is used by Pediatrics, Critical Care. Used for daily critical care management of children age 2-5 years in intensive care unit, including ongoing assessment, monitoring, and treatment.

When is CPT 99476 used?

Used for daily critical care management of children age 2-5 years in intensive care unit, including ongoing assessment, monitoring, and treatment.

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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.