# CPT 99211

> Medicare paid $23.03 for CPT 99211 in the office (non-facility) setting and $9.07 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.8% decrease from the previous quarter.

## What it is

A very brief, low-risk office visit for an established patient — often handled by a nurse or medical assistant rather than the billing clinician, such as rechecking a blood-pressure reading, a simple dressing change, or confirming a treatment is working. It is the only office-visit level that does not require a face-to-face encounter with the physician or a documented level of medical decision-making.

## Selected release

- Release: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $23.03
- Facility national allowed amount: $9.07
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.18
- Office (non-facility) practice expense RVU: 0.47
- Facility practice expense RVU: 0.07
- Malpractice RVU: 0.01
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 17,149
- Canonical page: https://localishealth.com/cpt/99211/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/99211/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00