# CPT 99213

> The national PFS baseline was $88.95 for CPT 99213 in the Office (non-facility) setting and $63.72 in a facility under the Q3 2025 Physician Fee Schedule, effective July 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $81.28–$112.20 and the facility amount is $59.58–$84.92. This amount has been unchanged since Q1 2025, when it decreased 2.1%.

## What it is

Routine Follow-Up Office Visit

## Selected release

- Release: Q3 2025 (2025 C)
- Effective: July 1 – September 30, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $88.95
- Facility national allowed amount: $63.72
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.30
- Office (non-facility) practice expense RVU: 1.35
- Facility practice expense RVU: 0.57
- Malpractice RVU: 0.10
- Conversion factor: 32.3465
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25c-updated-06/05/2025.zip
- Parsed file: PPRRVU2025_Jul.csv, row 12,807
- Canonical page: https://localishealth.com/cpt/99213/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/99213/2025/C
- Last significant update: 2026-08-13T15:22:50+00:00