CPT Code 99223 - 2025 RVU Values

Complete RVU breakdown for 99223 including work RVUs, practice expense, malpractice, and total RVU values for 2025.

Last updated: January 15, 2025

99223E/M

Description

1st hosp ip/obs high 75

Specialty Category

Patient encounters and consultations

Common Specialties: Primary Care, Hospitalist, Internal Medicine

2025 RVU Breakdown

Work RVU

Physician time and effort

3.50

Practice Expense RVU

Equipment and overhead costs

1.39

Malpractice RVU

Professional liability costs

0.28

Total RVU

Sum of all components

5.17

Frequently Asked Questions About CPT 99223

How many wRVUs is 99223 in 2025?

CPT code 99223 has 3.50 work RVUs in 2025according to the CMS Physician Fee Schedule.

The total RVU value including all components is 5.17 RVUs.

What type of procedure is 99223?

99223 is classified as E/M: 1st hosp ip/obs high 75

This procedure is commonly used by: Primary Care, Hospitalist, Internal Medicine

How do I calculate total compensation for 99223?

To calculate compensation: Work RVUs (3.50) × Your wRVU Rate × Geographic Adjustment Factor

Use our calculator below to estimate RVU values for multiple quantities.

Clinical Usage Guidelines for 99223

Documentation Requirements

Important: Proper documentation is required to support billing for 99223. Ensure your documentation meets CMS guidelines and local carrier policies.

Common Modifiers

-25Significant, separately identifiable E/M

-57Decision for surgery

Compare E/M Codes

CPT Code	Description	Work RVU	Total RVU	Difference
99202	Office o/p new sf 15 min	0.93	2.16	-2.57
99203	Office o/p new low 30 min	1.60	3.37	-1.90
99204	Office o/p new mod 45 min	2.60	5.05	-0.90
99205	Office o/p new hi 60 min	3.50	6.67	0.00
99211	Off/op est may x req phy/qhp	0.18	0.70	-3.32