# CPT 99211

> Medicare paid $23.53 for CPT 99211 in the office (non-facility) setting and $9.00 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. This price has been unchanged since Q1 2022, when it increased 2.2%.

## 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: Q2 2022 (2022 B)
- Effective: April 1 – June 30, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $23.53
- Facility national allowed amount: $9.00
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.18
- Office (non-facility) practice expense RVU: 0.49
- Facility practice expense RVU: 0.07
- Malpractice RVU: 0.01
- 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 17,447
- Canonical page: https://localishealth.com/cpt/99211/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/99211/2022/B
- Last significant update: 2026-08-04T03:11:36+00:00