# CPT 96116

> Medicare paid $93.31 for CPT 96116 in the office (non-facility) setting and $87.57 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% decrease from the previous quarter.

## What it is

A face-to-face clinical evaluation of a patient’s thinking, memory, reasoning, and behavioral function, including time spent interpreting results and preparing the report, billed per hour.

## Selected release

- Release: Q1 2017 (2017 A)
- Effective: January 1 – March 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $93.31
- Facility national allowed amount: $87.57
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.86
- Office (non-facility) practice expense RVU: 0.65
- Facility practice expense RVU: 0.49
- Malpractice RVU: 0.09
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip
- Parsed file: PPRRVU17_V1219.csv, row 16,116
- Canonical page: https://localishealth.com/cpt/96116/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/96116/2017/A
- Last significant update: 2026-08-04T03:07:28+00:00