CMS Transmittal R14001BP: Internet Only Manual Updates to Publication (Pub.) 100-02 for Inpatient Rehabilitation Facility…
Inpatient (IPPS)
CPT procedure code
99223 — Initial hospital inpatient care, high complexity
E/MCPT
Medicare payment
$156.32
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
99223
Code system
CPT (Current Procedural Terminology)
Description
Initial hospital inpatient care, high 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 99223. Here are the latest changes across all codes.
High
FDA Approval: BREZTRI AEROSPHERE (BUDESONIDE, GLYCOPYRROLATE, AND FORMOTEROL FUMARATE) — Type 5 - New Formulation or New Manufacturer
Pulmonology
FDA Approval: WELTRUZA (OLANZAPINE) — Type 5 - New Formulation or New Manufacturer
Neurology
Federal Register Notice: Statement of Delegation of Authority
Multi-specialty
FDA Approval: RHAPSIDO (REMIBRUTINIB) — Type 1 - New Molecular Entity
Hematology
CMS Transmittal Exhibit 286, Hospital, Critical Access Hospital (CAH) and Rural Emergency…: N/A
Inpatient (IPPS)
Audit documentation
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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
99222E/MInitial hospital inpatient care, moderate complexity
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