# CPT 99231

> Medicare paid $39.33 for CPT 99231 in the office (non-facility) setting and $39.33 in a facility under the Q3 2015 Physician Fee Schedule, effective July 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2015, when it decreased 0.2%.

## What it is

A follow-up physician visit during an ongoing hospital or observation stay, at the lowest level — for a patient who is stable, recovering, or improving as expected, such as a post-operative patient tolerating diet advancement with no new issues. Total time on the date of the visit typically runs about 25 minutes, and documentation needs only a brief review of one or two problems.

## Selected release

- Release: Q3 2015 (2015 C)
- Effective: July 1 – September 30, 2015
- Status indicator: A
- Office (non-facility) national allowed amount: $39.33
- Facility national allowed amount: $39.33
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.76
- Office (non-facility) practice expense RVU: 0.29
- Facility practice expense RVU: 0.29
- Malpractice RVU: 0.05
- Conversion factor: 35.7547
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2015)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15c.zip
- Parsed file: PPRRVU15_UP0.V0515.csv, row 15,943
- Canonical page: https://localishealth.com/cpt/99231/2015/A
- Release-specific citation URL: https://localishealth.com/cpt/99231/2015/C
- Last significant update: 2026-08-04T03:06:00+00:00