Pediatrics · CPT and work RVUs
Pediatrics wRVU table.
The procedure codes a pediatric practice bills, with the work RVU from the 2025 Physician Fee Schedule and the global period, and the office visit codes every practice shares.
Pediatrics procedures.
CPT and HCPCS codes with the work RVU from the 2025 CMS Physician Fee Schedule and the CMS global period. A dash means no work RVU is listed here; CLFS means the Clinical Laboratory Fee Schedule applies. Confirm against the current file before billing; nothing here is billing advice.
| Code | Description | Work RVU | Global |
|---|---|---|---|
99381 | Initial preventive visit, new patient, infant (younger than 1 year) | — | XXX |
99382 | Initial preventive visit, new patient, age 1-4 | — | XXX |
99383 | Initial preventive visit, new patient, age 5-11 | — | XXX |
99384 | Initial preventive visit, new patient, age 12-17 | — | XXX |
99391 | Periodic preventive visit, established patient, infant | — | XXX |
99392 | Periodic preventive visit, established patient, age 1-4 | — | XXX |
99393 | Periodic preventive visit, established patient, age 5-11 | — | XXX |
99394 | Periodic preventive visit, established patient, age 12-17 | — | XXX |
90460 | Immunization administration through 18 years with counseling, first or only component | 0.17 | XXX |
90461 | Immunization administration with counseling, each additional component (add-on) | 0.15 | ZZZ |
90471 | Immunization administration without counseling, one vaccine | 0.17 | XXX |
90472 | Immunization administration, each additional vaccine (add-on) | 0.15 | ZZZ |
96110 | Developmental screening with scoring and documentation, per instrumentPractice-expense only. | n/a | XXX |
96127 | Brief emotional or behavioral assessment, per instrumentPractice-expense only. | n/a | XXX |
96160 | Patient-focused health risk assessment, per instrumentPractice-expense only. | n/a | XXX |
87880 | Rapid strep A test | CLFS | XXX |
87804 | Influenza rapid antigen test | CLFS | XXX |
94640 | Inhalation treatment for airway obstruction (nebulizer) | — | XXX |
69210 | Removal of impacted cerumen requiring instrumentation, unilateral | 0.61 | 000 |
12001 | Simple repair of superficial wounds, 2.5 cm or less | 0.84 | 000 |
17110 | Destruction of benign lesions (warts), up to 14 | 0.70 | 010 |
Office visits, shared by every specialty.
| Code | Description | Work RVU | Global |
|---|---|---|---|
99202 | Office visit, new patient, straightforward medical decision making or 15-29 minutes | 0.93 | XXX |
99203 | Office visit, new patient, low complexity or 30-44 minutes | 1.60 | XXX |
99204 | Office visit, new patient, moderate complexity or 45-59 minutes | 2.60 | XXX |
99205 | Office visit, new patient, high complexity or 60-74 minutes | 3.50 | XXX |
99211 | Office visit, established patient, may not require a physician | 0.18 | XXX |
99212 | Office visit, established patient, straightforward or 10-19 minutes | 0.70 | XXX |
99213 | Office visit, established patient, low complexity or 20-29 minutes | 1.30 | XXX |
99214 | Office visit, established patient, moderate complexity or 30-39 minutes | 1.92 | XXX |
99215 | Office visit, established patient, high complexity or 40-54 minutes | 2.80 | XXX |
G2211 | Visit complexity add-on for a longitudinal relationship (Medicare, with 99202-99215) | 0.33 | ZZZ |
99024 | Post-operative follow-up visit included in the global package (report for tracking; no separate payment) | n/a | XXX |
000- 0-day global: the visit on the day of the procedure is included; visits afterwards are billed.
010- 10-day global: routine post-operative visits for 10 days are included in the fee.
XXX- No global period: the concept does not apply (E/M, imaging, laboratory).
ZZZ- Add-on code: it takes the global period of the primary procedure it is reported with.
Pediatrics global periodsICD-10 codesAll pediatrics references
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