# CPT 99212

> Medicare paid $44.64 for CPT 99212 in the office (non-facility) setting and $25.92 in a facility under the Q2 2018 Physician Fee Schedule, effective April 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, 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: Q2 2018 (2018 B)
- Effective: April 1 – June 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $44.64
- Facility national allowed amount: $25.92
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.48
- Office (non-facility) practice expense RVU: 0.72
- Facility practice expense RVU: 0.20
- Malpractice RVU: 0.04
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18b.zip
- Parsed file: PPRRVU18_APR.csv, row 16,490
- Canonical page: https://localishealth.com/cpt/99212/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/99212/2018/B
- Last significant update: 2026-08-04T03:08:19+00:00