99170 Anogenital examination child w imag
Also known as: abuse exam, forensic exam, child abuse evaluation
Anogenital examination of a child with imaging and documentation for evaluation of suspected child sexual abuse, including photographic or diagnostic imaging records.
In Plain Language
specialized medical examination for child abuse evaluation
Clinical Context
Used for comprehensive anogenital examination of suspected child sexual abuse victims with imaging documentation for legal and medical purposes.
RVU Breakdown
| Work RVU | 1.71 |
| Total RVU | 1.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 1.71, this code ranks in the 73rd percentile among Medicine codes — 2.2x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 99170?
CPT 99170 (Anogenital examination child w imag) is a Medicine code. Anogenital examination of a child with imaging and documentation for evaluation of suspected child sexual abuse, including photographic or diagnostic imaging records.
Who uses CPT code 99170?
CPT 99170 is used by Pediatrics, Child Abuse Prevention, Forensic Medicine. Used for comprehensive anogenital examination of suspected child sexual abuse victims with imaging documentation for legal and medical purposes.
When is CPT 99170 used?
Used for comprehensive anogenital examination of suspected child sexual abuse victims with imaging documentation for legal and medical purposes.
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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.