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99477 initial day hosp neonate care

Evaluation & Management

Also known as: neonatal day hospital, newborn day program

Initial day hospital (observation/outpatient) care and management of neonate on the day of admission including assessment and any necessary initial interventions.

In Plain Language

hospital newborn care program without overnight stay

Clinical Context

Used for initial evaluation and management of neonates in day hospital/observation setting for monitoring, phototherapy, and other non-overnight interventions.

RVU Breakdown

Work RVU7.00
Total RVU7.00

Est. Medicare Payment

$233.80

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 7.00, this code ranks in the 96th percentile among Evaluation & Management codes — 4.5x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

NeonatologyPediatrics

Frequently Asked Questions

What is CPT code 99477?

CPT 99477 (initial day hosp neonate care) is a Evaluation & Management code. Initial day hospital (observation/outpatient) care and management of neonate on the day of admission including assessment and any necessary initial interventions.

Who uses CPT code 99477?

CPT 99477 is used by Neonatology, Pediatrics. Used for initial evaluation and management of neonates in day hospital/observation setting for monitoring, phototherapy, and other non-overnight interventions.

When is CPT 99477 used?

Used for initial evaluation and management of neonates in day hospital/observation setting for monitoring, phototherapy, and other non-overnight 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.