# CPT 99212

> Medicare paid $44.14 for CPT 99212 in the office (non-facility) setting and $25.84 in a facility under the Q4 2017 Physician Fee Schedule, effective October 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 1.1%.

## What it is

A short established-patient visit for a single, straightforward problem — for example, a routine medication refill check or a minor, self-limited issue like a mild rash. Total visit time typically runs about 10 to 19 minutes, and documentation needs to show one uncomplicated problem, minimal or no data reviewed, and low risk from the plan of care.

## Selected release

- Release: Q4 2017 (2017 D)
- Effective: October 1 – December 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $44.14
- Facility national allowed amount: $25.84
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.48
- Office (non-facility) practice expense RVU: 0.71
- Facility practice expense RVU: 0.20
- Malpractice RVU: 0.04
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17d.zip
- Parsed file: PPRRVU17_OCT.csv, row 16,337
- Canonical page: https://localishealth.com/cpt/99212/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/99212/2017/D
- Last significant update: 2026-08-04T03:07:59+00:00