# CPT 99202

> Medicare paid $76.32 for CPT 99202 in the office (non-facility) setting and $51.48 in a facility under the Q4 2018 Physician Fee Schedule, effective October 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.8%.

## 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: Q4 2018 (2018 D)
- Effective: October 1 – December 31, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $76.32
- Facility national allowed amount: $51.48
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.93
- Office (non-facility) practice expense RVU: 1.11
- Facility practice expense RVU: 0.42
- Malpractice RVU: 0.08
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18d.zip
- Parsed file: PPRRVU18_OCT.csv, row 16,513
- Canonical page: https://localishealth.com/cpt/99202/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/99202/2018/D
- Last significant update: 2026-08-04T03:08:37+00:00