99480 Sbsq ic inferior pbw 2,501-5,000
Also known as: normal birth weight day hospital, term infant day program
Subsequent day hospital care of normal birth weight or more than 2,500 gram newborn per calendar day with continuing assessment and interventions.
In Plain Language
continued care of regular-size newborn in day hospital
Clinical Context
Used for day hospital management of term or near-term infants (>2,500 grams) requiring phototherapy, feeding support, or other non-overnight interventions.
RVU Breakdown
| Work RVU | 2.40 |
| Total RVU | 2.40 |
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 2.40, this code ranks in the 74th percentile among Evaluation & Management codes — 1.6x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99480?
CPT 99480 (Sbsq ic inferior pbw 2,501-5,000) is a Evaluation & Management code. Subsequent day hospital care of normal birth weight or more than 2,500 gram newborn per calendar day with continuing assessment and interventions.
Who uses CPT code 99480?
CPT 99480 is used by Neonatology, Pediatrics. Used for day hospital management of term or near-term infants (>2,500 grams) requiring phototherapy, feeding support, or other non-overnight interventions.
When is CPT 99480 used?
Used for day hospital management of term or near-term infants (>2,500 grams) requiring phototherapy, feeding support, or 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.