# CPT 99203

> Medicare paid $113.85 for CPT 99203 in the office (non-facility) setting and $84.44 in a facility under the Q2 2022 Physician Fee Schedule, effective April 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $102.66–$145.48 and the facility amount is $77.74–$112.59. This price has been unchanged since Q1 2022, when it increased 0.1%.

## What it is

New Patient Office Visit

## Selected release

- Release: Q2 2022 (2022 B)
- Effective: April 1 – June 30, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $113.85
- Facility national allowed amount: $84.44
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.60
- Office (non-facility) practice expense RVU: 1.52
- Facility practice expense RVU: 0.67
- Malpractice RVU: 0.17
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22b.zip
- Parsed file: PPRRVU22_APR.csv, row 17,444
- Canonical page: https://localishealth.com/cpt/99203/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/99203/2022/B
- Last significant update: 2026-08-13T15:22:50+00:00