CMS Transmittal R14006FM: Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Quarter…
Multi-specialty
CPT procedure code
99222 — Initial hospital inpatient care, moderate complexity
E/MCPT
Medicare payment
$116.90
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
99222
Code system
CPT (Current Procedural Terminology)
Description
Initial hospital inpatient care, moderate complexity
Category
E/M
Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.
Latest reimbursement alerts
No policy changes are currently matched to 99222. Here are the latest changes across all codes.
High
CMS Transmittal R14007FM: Creation of the 'PROVIDER-TERMINATED' Status at the Provider/Customer Level on the Healthcare…
Multi-specialty
Federal Register Notice: Agency Information Collection Activities: Proposed Collection; Comment Request
Multi-specialty
Federal Register Notice: Agency Information Collection Activities: Proposed Collection; Comment Request
Multi-specialty
CMS Transmittal R14001BP: Internet Only Manual Updates to Publication (Pub.) 100-02 for Inpatient Rehabilitation Facility…
Inpatient (IPPS)
FDA Approval: BREZTRI AEROSPHERE (BUDESONIDE, GLYCOPYRROLATE, AND FORMOTEROL FUMARATE) — Type 5 - New Formulation or New Manufacturer
Pulmonology
Audit documentation
Building an audit file that includes CPT 99222?
The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.
See audit packs — $349One-time purchase · not a subscription
Related CPT codes (992xx)
99202E/MOffice/outpatient visit, new patient, low complexity
99203E/MOffice/outpatient visit, new patient, moderate complexity
99204E/MOffice/outpatient visit, new patient, moderate-high complexity
99205E/MOffice/outpatient visit, new patient, high complexity
99211E/MOffice/outpatient visit, established patient, minimal
99212E/MOffice/outpatient visit, established patient, straightforward
99213E/MOffice/outpatient visit, established patient, low complexity
99214E/MOffice/outpatient visit, established patient, moderate complexity
99215E/MOffice/outpatient visit, established patient, high complexity
99221E/MInitial hospital inpatient care, low complexity
99223E/MInitial hospital inpatient care, high complexity
Get alerts when policy changes affect 99222
Free weekly digest — no subscription required.
Look up another code
Search ICD-10, HCPCS, or CPT codes with related reimbursement alerts.