# CPT 99213

> Medicare paid $75.32 for CPT 99213 in the office (non-facility) setting and $51.90 in a facility under the Q1 2019 Physician Fee Schedule, effective January 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $68.81–$96.49 and the facility amount is $48.43–$70.33. This is a 1.6% increase from the previous quarter.

## What it is

Routine Follow-Up Office Visit

## Selected release

- Release: Q1 2019 (2019 A)
- Effective: January 1 – March 31, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $75.32
- Facility national allowed amount: $51.90
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.97
- Office (non-facility) practice expense RVU: 1.05
- Facility practice expense RVU: 0.40
- Malpractice RVU: 0.07
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19a.zip
- Parsed file: PPRRVU19_V1213.csv, row 16,790
- Canonical page: https://localishealth.com/cpt/99213/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/99213/2019/A
- Last significant update: 2026-08-13T15:22:50+00:00