# CPT 99205

> Medicare paid $220.36 for CPT 99205 in the office (non-facility) setting and $179.75 in a facility under the Q3 2024 Physician Fee Schedule, effective July 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $202.07–$281.66 and the facility amount is $167.14–$237.76. This price has been unchanged since Q1 2024, when it decreased 0.3%.

## What it is

Longest New Patient Office Visit

## Selected release

- Release: Q3 2024 (2024 C)
- Effective: July 1 – September 30, 2024
- Status indicator: A
- Office (non-facility) national allowed amount: $220.36
- Facility national allowed amount: $179.75
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.50
- Office (non-facility) practice expense RVU: 2.79
- Facility practice expense RVU: 1.57
- Malpractice RVU: 0.33
- Conversion factor: 33.2875
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2024)
- CMS file: https://www.cms.gov/files/zip/rvu24c-updated-09/09/2024.zip
- Parsed file: PPRRVU24_JUL.csv, row 18,504
- Canonical page: https://localishealth.com/cpt/99205/2024/A
- Release-specific citation URL: https://localishealth.com/cpt/99205/2024/C
- Last significant update: 2026-08-13T15:22:50+00:00