{
    "code": "99203",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99203/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/99203/2023/C",
    "description": "A low-to-moderate complexity visit for a patient the practice has not seen recently — for example, a new patient establishing care for a stable condition or presenting with a single uncomplicated problem, such as seasonal allergies. Total visit time typically runs about 30 to 44 minutes; new-patient visits generally take longer than an established-patient visit at the same level because no prior chart exists to build on.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99203 in Q3 2023?",
        "text": "Medicare paid $112.84 for CPT 99203 in the office (non-facility) setting and $83.02 in a facility under the Q3 2023 Physician Fee Schedule, effective July 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 0.9%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "C",
        "label": "Q3 2023",
        "effective": "July 1 – September 30, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 112.84,
        "facility": 83.02,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.6,
        "practice_expense_non_facility": 1.56,
        "practice_expense_facility": 0.68,
        "malpractice": 0.17
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q3 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/C",
        "file": "PPRRVU23_JUL.csv",
        "row": 17971,
        "sha256": "64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37"
    },
    "modified_at": "2026-08-04T03:12:57+00:00"
}