# CPT 99202

> Medicare paid $75.19 for CPT 99202 in the office (non-facility) setting and $50.84 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.4%.

## What it is

A low-complexity visit for a patient the practice has not seen recently — for example, a new patient with a single minor issue like a mild rash or a medication refill request. Total visit time typically runs about 15 to 29 minutes, and documentation needs only a limited problem, minimal or no data review, and low risk from the plan of care. It is the entry-level new-patient office visit.

## Selected release

- Release: Q3 2016 (2016 C)
- Effective: July 1 – September 30, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $75.19
- Facility national allowed amount: $50.84
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.93
- Office (non-facility) practice expense RVU: 1.09
- Facility practice expense RVU: 0.41
- Malpractice RVU: 0.08
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip
- Parsed file: PPRRVU16_V0517.csv, row 16,146
- Canonical page: https://localishealth.com/cpt/99202/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/99202/2016/C
- Last significant update: 2026-08-04T03:06:56+00:00