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99478 Sbsq ic vlbw inf<1,500 gm

E&M

Also known as: VLBW day hospital care, very low birth weight

Subsequent day hospital care of very low birth weight newborn (less than 1,500 grams) per calendar day with continuing assessment and interventions.

Clinical Context

Used for ongoing day hospital management of extremely premature infants weighing less than 1,500 grams requiring observation and frequent monitoring.

RVU Breakdown

Work RVU2.75
Practice Expense RVU0.55
Malpractice RVU0.17
Total RVU3.47

Est. Medicare Payment

$115.90

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

NeonatologyPediatrics

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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.