{
    "code": "99202",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99202/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/99202/2019/A",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99202 in Q1 2019?",
        "text": "Medicare paid $77.48 for CPT 99202 in the office (non-facility) setting and $51.54 in a facility under the Q1 2019 Physician Fee Schedule, effective January 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.5% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "A",
        "label": "Q1 2019",
        "effective": "January 1 – March 31, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 77.48,
        "facility": 51.54,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.93,
        "practice_expense_non_facility": 1.14,
        "practice_expense_facility": 0.42,
        "malpractice": 0.08
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q1 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/A",
        "file": "PPRRVU19_V1213.csv",
        "row": 16784,
        "sha256": "027b1b615e25a1c68ccff88175acf40056bc59d858295f8e37b0c5a88a2e7d35"
    },
    "modified_at": "2026-08-04T03:08:45+00:00"
}