CPT 99000–99607 codes: Evaluation and management

This range contains 217 CPT Category I codes in the 2026 CMS fee schedule data, 152 of which carry work RVUs. Select a code to see its full RVU breakdown, Medicare status and related codes.

CPT 99000 — Specimen handling office-lab
CPT 99001 — Specimen handling pt-lab
CPT 99002 — Device handling phys/qhp
CPT 99024 — Follow-up visit included in the global surgical package
CPT 99026 — Physician standing by inside the hospital for a possible procedure, per hour
CPT 99027 — Physician standing by outside the hospital for a possible procedure, per hour
CPT 99050 — Service given at the office outside normal hours
CPT 99051 — Service given during scheduled evening, weekend, or holiday office hours
CPT 99053 — Service given between 10 pm and 8 am at a facility open around the clock
CPT 99056 — Service given at a location the patient requested other than the office
CPT 99058 — Emergency office service that interrupts other scheduled care
CPT 99060 — Emergency service given outside the office that interrupts other scheduled care
CPT 99070 — Supplies or materials the physician provided beyond those usually included in the visit
CPT 99071 — Written or printed educational materials the physician provided to the patient
CPT 99072 — Addl supl matrl&staf tm phe
CPT 99075 — Physician appearing as a medical witness or providing testimony
CPT 99078 — Physician-led educational session for a group of established patients
CPT 99080 — Special report or form completed beyond the routine communication for a visit
CPT 99082 — Unusual travel by the physician to reach a patient
CPT 99091 — Collecting and interpreting a patient's remote physiologic data, each 30-day period (1.10 wRVUs)
CPT 99100 — Add-on: anesthesia for a patient under 1 year or over 70 years old
CPT 99116 — Add-on: anesthesia case complicated by total body hypothermia
CPT 99135 — Add-on: anesthesia case complicated by intentionally controlled low blood pressure
CPT 99140 — Add-on: anesthesia case complicated by emergency conditions
CPT 99151 — Moderate sedation given by the same doctor doing the procedure, for a patient under 5 (first 15 min) (0.50 wRVUs)
CPT 99152 — Moderate sedation given by the same doctor doing the procedure, patient age 5 or older (0.25 wRVUs)
CPT 99153 — Mod sed same phys/qhp ea
CPT 99155 — Moderate sedation by other physician or QHP, patient under 5 years, first 15 minutes (1.90 wRVUs)
CPT 99156 — Moderate sedation performed by a different provider for a patient 5 or older (first 15 min) (1.65 wRVUs)
CPT 99157 — Add-on: moderate sedation by other physician or QHP, each additional 15 minutes (1.25 wRVUs)
CPT 99170 — Anogenital exam with imaging in a child for suspected trauma (1.71 wRVUs)
CPT 99172 — Ocular function screen
CPT 99173 — Visual acuity screen
CPT 99174 — Ocular instrumnt screen bil
CPT 99175 — Induction of vomiting
CPT 99177 — Ocular instrumnt screen bil
CPT 99183 — Hyperbaric oxygen therapy attendance and supervision (2.06 wRVUs)
CPT 99184 — Initiation of therapeutic hypothermia in critically ill neonate (4.39 wRVUs)
CPT 99188 — Applying fluoride varnish to a child's teeth in the office (0.20 wRVUs)
CPT 99190 — Special pump services
CPT 99191 — Special pump services
CPT 99192 — Special pump services
CPT 99195 — Phlebotomy
CPT 99199 — Unlisted special svc px/rprt
CPT 99202 — Office visit, new patient, straightforward (0.93 wRVUs)
CPT 99203 — Office visit, new patient, low MDM (1.60 wRVUs)
CPT 99204 — Office visit, new patient, moderate MDM (2.60 wRVUs)
CPT 99205 — Office visit, new patient, high MDM (3.50 wRVUs)
CPT 99211 — Office visit that does not require a physician (minimal, established patient) (0.18 wRVUs)
CPT 99212 — Office visit, established patient, straightforward (0.70 wRVUs)
CPT 99213 — Office visit, established patient, low MDM (1.30 wRVUs)
CPT 99214 — Office visit, established patient, moderate MDM (1.92 wRVUs)
CPT 99215 — Office visit, established patient, high MDM (2.80 wRVUs)
CPT 99221 — Initial hospital or observation care, low MDM (1.63 wRVUs)
CPT 99222 — Initial hospital or observation care, moderate MDM (2.60 wRVUs)
CPT 99223 — Initial hospital or observation care, high MDM (3.50 wRVUs)
CPT 99231 — Subsequent hospital or observation visit, low MDM (1.00 wRVUs)
CPT 99232 — Subsequent hospital or observation visit, moderate MDM (1.59 wRVUs)
CPT 99233 — Subsequent hospital or observation visit, high MDM (2.40 wRVUs)
CPT 99234 — Hospital or observation admission and discharge same day, low MDM, 45 minutes (2.00 wRVUs)
CPT 99235 — Same-day hospital admission and discharge, moderate MDM, about 70 minutes (3.24 wRVUs)
CPT 99236 — Same-day hospital admission and discharge, high MDM, about 85 minutes (4.30 wRVUs)
CPT 99238 — Hospital or observation discharge, 30 minutes or less (1.50 wRVUs)
CPT 99239 — Hospital or observation discharge, more than 30 minutes (2.15 wRVUs)
CPT 99242 — Office or outpatient consultation, new or established, straightforward, 20 minutes (1.08 wRVUs)
CPT 99243 — Office or outpatient consultation, low MDM, about 30 minutes (1.80 wRVUs)
CPT 99244 — Office or outpatient consultation, moderate MDM, about 40 minutes (2.69 wRVUs)
CPT 99245 — Office or outpatient consultation, high MDM, about 55 minutes (3.75 wRVUs)
CPT 99252 — Inpatient or observation consultation, straightforward MDM, about 35 minutes (1.50 wRVUs)
CPT 99253 — Inpatient or observation consultation, low MDM, about 45 minutes (2.00 wRVUs)
CPT 99254 — Inpatient or observation consultation, moderate MDM, about 60 minutes (2.72 wRVUs)
CPT 99255 — Inpatient or observation consultation, high MDM, about 80 minutes (3.86 wRVUs)
CPT 99281 — ED visit not requiring physician or QHP presence (0.25 wRVUs)
CPT 99282 — ED visit, straightforward MDM (0.93 wRVUs)
CPT 99283 — ED visit, moderate severity problem, low MDM (1.60 wRVUs)
CPT 99284 — Emergency department visit, moderate MDM (2.74 wRVUs)
CPT 99285 — Emergency department visit, high MDM (4.00 wRVUs)
CPT 99288 — Direct advanced life support
CPT 99291 — Critical care, first hour (4.50 wRVUs)
CPT 99292 — Critical care, each additional 30 minutes (2.25 wRVUs)
CPT 99304 — Initial nursing facility visit, straightforward or low MDM, about 25 minutes (1.50 wRVUs)
CPT 99305 — Initial nursing facility visit, moderate MDM, about 35 minutes (2.50 wRVUs)
CPT 99306 — Initial nursing facility care, high MDM, 50 minutes (3.50 wRVUs)
CPT 99307 — Subsequent nursing facility care, straightforward MDM, 10 minutes (0.70 wRVUs)
CPT 99308 — Follow-up nursing facility visit, low MDM, about 20 minutes (1.30 wRVUs)
CPT 99309 — Follow-up nursing facility visit, moderate MDM, about 30 minutes (1.92 wRVUs)
CPT 99310 — Follow-up nursing facility visit, high MDM, about 45 minutes (2.80 wRVUs)
CPT 99315 — Nursing facility discharge management, 30 minutes or less (1.50 wRVUs)
CPT 99316 — Nursing-facility discharge planning, more than 30 minutes (2.50 wRVUs)
CPT 99341 — Home or residence visit, new patient, straightforward MDM, 15 minutes (1.00 wRVUs)
CPT 99342 — Home or residence visit, new patient, low MDM, 30 minutes (1.65 wRVUs)
CPT 99344 — Home or residence visit, new patient, moderate MDM, 60 minutes (2.87 wRVUs)
CPT 99345 — Home or residence visit, new patient, high MDM, 75 minutes (3.88 wRVUs)
CPT 99347 — Home or residence visit, established patient, low MDM, about 20 minutes (0.90 wRVUs)
CPT 99348 — Home or residence visit, established patient, low MDM, about 30 minutes (1.50 wRVUs)
CPT 99349 — Home or residence visit, established patient, moderate MDM, 40 minutes (2.44 wRVUs)
CPT 99350 — Home or residence visit, established patient, high MDM, 60 minutes (3.60 wRVUs)
CPT 99358 — Prolonged evaluation and management service without direct patient contact, first hour (1.80 wRVUs)
CPT 99359 — Add-on: prolonged E/M service without direct patient contact, each additional 30 minutes (0.75 wRVUs)
CPT 99360 — Physician standby services (1.20 wRVUs)
CPT 99366 — In-person team care conference including the patient or family (0.82 wRVUs)
CPT 99367 — Medical team conference without patient by physician, 30 minutes or more (1.10 wRVUs)
CPT 99368 — Team conference about a patient by a healthcare professional (patient not present) (0.72 wRVUs)
CPT 99374 — Home health care supervision, 15-29 minutes (1.10 wRVUs)
CPT 99375 — Home health care supervision, 30 minutes or more (1.73 wRVUs)
CPT 99377 — Hospice care supervision, 15-29 minutes (1.10 wRVUs)
CPT 99378 — Hospice care supervision, 30 minutes or more (1.73 wRVUs)
CPT 99379 — Nursing facility care supervision, 15-29 minutes (1.10 wRVUs)
CPT 99380 — Nursing facility care supervision, 30 minutes or more (1.73 wRVUs)
CPT 99381 — Initial preventive medicine visit, new patient, infant under age 1 (1.50 wRVUs)
CPT 99382 — Full preventive check-up for a new patient, ages 1 to 4 (1.60 wRVUs)
CPT 99383 — Full preventive check-up for a new patient, ages 5 to 11 (1.70 wRVUs)
CPT 99384 — Full preventive check-up for a new patient, ages 12 to 17 (2.00 wRVUs)
CPT 99385 — Full head-to-toe preventive check-up for a new adult patient ages 18 to 39 (1.92 wRVUs)
CPT 99386 — Full head-to-toe preventive check-up for a new adult patient ages 40 to 64 (2.33 wRVUs)
CPT 99387 — Initial preventive medicine visit, new patient, age 65 or older (2.50 wRVUs)
CPT 99391 — Periodic preventive medicine visit, established patient, infant under age 1 (1.37 wRVUs)
CPT 99392 — Periodic preventive medicine visit, established patient, age 1-4 (1.50 wRVUs)
CPT 99393 — Periodic preventive medicine visit, established patient, age 5-11 (1.50 wRVUs)
CPT 99394 — Periodic preventive medicine visit, established patient, age 12-17 (1.70 wRVUs)
CPT 99395 — Preventive visit, established patient, ages 18 to 39 (1.75 wRVUs)
CPT 99396 — Preventive visit, established patient, ages 40 to 64 (1.90 wRVUs)
CPT 99397 — Preventive visit, established patient, age 65 or older (2.00 wRVUs)
CPT 99401 — One-on-one preventive counseling session, about 15 minutes (0.48 wRVUs)
CPT 99402 — One-on-one preventive counseling session, about 30 minutes (0.98 wRVUs)
CPT 99403 — One-on-one preventive counseling session, about 45 minutes (1.46 wRVUs)
CPT 99404 — Preventive medicine counseling, individual, approximately 60 minutes (1.95 wRVUs)
CPT 99406 — Smoking cessation counseling, 3 to 10 minutes (0.24 wRVUs)
CPT 99407 — Longer counseling session (over 10 minutes) to help the patient quit smoking (0.50 wRVUs)
CPT 99408 — Screening and brief intervention for alcohol or substance use (15 to 30 minutes) (0.65 wRVUs)
CPT 99409 — Audit and DAST intervention services, over 30 minutes (1.30 wRVUs)
CPT 99411 — Preventive medicine counseling, group, approximately 30 minutes (0.15 wRVUs)
CPT 99412 — Preventive medicine counseling, group, approximately 60 minutes (0.25 wRVUs)
CPT 99415 — Prolng clin staff svc 1st hr
CPT 99416 — Prolng clin staff svc ea add
CPT 99417 — Each additional 15 minutes of extra time spent on a lengthy outpatient visit (0.61 wRVUs)
CPT 99418 — Each additional 15 minutes of extra time spent on a lengthy inpatient or observation visit (0.81 wRVUs)
CPT 99421 — Online digital visit with a patient, 5 to 10 cumulative minutes over 7 days (0.25 wRVUs)
CPT 99422 — Online digital message-based visit, cumulative 11 to 20 minutes over a week (0.50 wRVUs)
CPT 99423 — Online digital E/M service, physician or QHP, 21+ minutes (0.80 wRVUs)
CPT 99424 — Principal care management by physician, first 30 minutes per month (1.45 wRVUs)
CPT 99425 — Add-on: principal care management by physician, each additional 30 minutes per month (1.00 wRVUs)
CPT 99426 — Principal care management by clinical staff, first 30 minutes per month (1.00 wRVUs)
CPT 99427 — Add-on: principal care management by clinical staff, each additional 30 minutes per month (0.71 wRVUs)
CPT 99429 — Unlisted preventive service
CPT 99437 — Add-on: chronic care management by physician, each additional 30 minutes per month (1.00 wRVUs)
CPT 99439 — Add-on: chronic care management by clinical staff, each additional 20 minutes per month (0.70 wRVUs)
CPT 99445 — Rem mntr physiol param 2-15
CPT 99446 — Interprofessional telephone or internet consultation, 5-10 minutes (0.35 wRVUs)
CPT 99447 — Consultation between healthcare providers by phone or online (11 to 20 minutes) (0.70 wRVUs)
CPT 99448 — Interprofessional telephone or internet consultation, 21-30 minutes (1.05 wRVUs)
CPT 99449 — Interprofessional telephone or internet consultation, 31 minutes or more (1.40 wRVUs)
CPT 99450 — Basic life disability exam
CPT 99451 — Interprofessional telephone or internet consultation, written report, 5 minutes or more (0.70 wRVUs)
CPT 99452 — Interprofessional telephone or internet consultation, referral service (0.70 wRVUs)
CPT 99453 — Rem mntr physiol param setup
CPT 99454 — Rem mntr physiol param 16-30
CPT 99455 — Work related disability exam
CPT 99456 — Disability examination
CPT 99457 — Remote patient monitoring treatment management, first 20 minutes per month (0.61 wRVUs)
CPT 99458 — Add-on: remote patient monitoring treatment management, each additional 20 minutes per month (0.61 wRVUs)
CPT 99459 — Pelvic examination
CPT 99460 — Newborn care on the day of birth in the hospital (1.92 wRVUs)
CPT 99461 — Initial newborn E/M care per day, non-facility (1.26 wRVUs)
CPT 99462 — Follow-up newborn care in the hospital (per day) (0.84 wRVUs)
CPT 99463 — Newborn admission and same-day discharge care (2.13 wRVUs)
CPT 99464 — Attendance at delivery when requested by delivering physician (1.50 wRVUs)
CPT 99465 — Newborn resuscitation (2.93 wRVUs)
CPT 99466 — Pediatric critical care patient transport, first 30-74 minutes (4.79 wRVUs)
CPT 99467 — Add-on: pediatric critical care patient transport, each additional 30 minutes (2.40 wRVUs)
CPT 99468 — Neonatal critical care, initial day (18.46 wRVUs)
CPT 99469 — Neonatal critical care, subsequent day (7.99 wRVUs)
CPT 99470 — Remote physiologic monitoring treatment management, first 10 minutes (0.31 wRVUs)
CPT 99471 — Pediatric critical care, ages 29 days to 24 months, initial day (15.98 wRVUs)
CPT 99472 — Pediatric critical care, ages 29 days to 24 months, subsequent day (7.99 wRVUs)
CPT 99473 — Self-meas bp pt educaj/train
CPT 99474 — Self-measured blood pressure monitoring, 2 readings twice daily over 30 days (0.18 wRVUs)
CPT 99475 — Pediatric critical care, ages 2-5 years, initial day (11.25 wRVUs)
CPT 99476 — Pediatric critical care, ages 2-5 years, subsequent day (6.75 wRVUs)
CPT 99477 — Initial hospital care per day for neonate requiring intensive care (7.00 wRVUs)
CPT 99478 — Subsequent intensive care of very low birth weight infant, under 1500 g (2.75 wRVUs)
CPT 99479 — Subsequent intensive care of low birth weight infant, 1500-2500 g (2.50 wRVUs)
CPT 99480 — Subsequent intensive care of infant, present body weight 2501-5000 g (2.40 wRVUs)
CPT 99483 — Comprehensive visit to assess and plan care for a patient with cognitive impairment (3.84 wRVUs)
CPT 99484 — Care management service for behavioral health condition, 20 minutes per month (0.93 wRVUs)
CPT 99485 — Supervision of interfacility transport of critically ill patient, first 30 minutes (1.50 wRVUs)
CPT 99486 — Add-on: supervision of interfacility transport of critically ill patient, each additional 30 minutes (1.30 wRVUs)
CPT 99487 — Complex chronic care management, first 60 minutes per month (1.81 wRVUs)
CPT 99489 — Add-on: complex chronic care management, each additional 30 minutes per month (1.00 wRVUs)
CPT 99490 — Chronic care coordination by clinical staff, first 20 minutes per month (1.00 wRVUs)
CPT 99491 — Chronic care management by physician, first 30 minutes per month (1.50 wRVUs)
CPT 99492 — Initial psychiatric collaborative care management, first 70 minutes per month (1.88 wRVUs)
CPT 99493 — Subsequent psychiatric collaborative care management, first 60 minutes per month (2.05 wRVUs)
CPT 99494 — Add-on: initial or subsequent psychiatric collaborative care management, each additional 30 minutes (0.82 wRVUs)
CPT 99495 — Transitional care follow-up after a hospital stay, moderate MDM, contact within 14 days (2.78 wRVUs)
CPT 99496 — Transitional care follow-up after a hospital stay, high MDM, contact within 7 days (3.79 wRVUs)
CPT 99497 — Talking through advance care wishes with the patient, first 30 minutes (1.50 wRVUs)
CPT 99498 — Add-on: advance care planning, each additional 30 minutes (1.40 wRVUs)
CPT 99499 — Unlisted e&m service
CPT 99500 — Home visit prenatal
CPT 99501 — Home visit postnatal
CPT 99502 — Home visit nb care
CPT 99503 — Home visit resp therapy
CPT 99504 — Home visit mech ventilator
CPT 99505 — Home visit stoma care
CPT 99506 — Home visit im injection
CPT 99507 — Home visit cath maintain
CPT 99509 — Home visit day life activity
CPT 99510 — Home visit sing/m/fam couns
CPT 99511 — Home visit fecal/enema mgmt
CPT 99512 — Home visit for hemodialysis
CPT 99600 — Unlisted home visit svc/px
CPT 99601 — Home nfs visit <2 hrs
CPT 99602 — Home nfs visit each addl hr
CPT 99605 — Mtms by pharm np 15 min
CPT 99606 — Mtms by pharm est 15 min
CPT 99607 — Mtms by pharm addl 15 min

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