# CPT 99233

> Medicare paid $105.59 for CPT 99233 in the office (non-facility) setting and $105.59 in a facility under the Q4 2019 Physician Fee Schedule, effective October 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 0.6%.

## What it is

A daily follow-up physician visit during a hospital or observation stay at the highest level, for a patient who is unstable or has a significant new problem — for example, worsening respiratory failure or a new arrhythmia that requires close monitoring and rapid changes to the treatment plan. Total time typically runs about 50 minutes.

## Selected release

- Release: Q4 2019 (2019 D)
- Effective: October 1 – December 31, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $105.59
- Facility national allowed amount: $105.59
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.00
- Office (non-facility) practice expense RVU: 0.79
- Facility practice expense RVU: 0.79
- Malpractice RVU: 0.14
- 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 (Q4 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip
- Parsed file: PPRRVU19_OCT.csv, row 16,892
- Canonical page: https://localishealth.com/cpt/99233/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/99233/2019/D
- Last significant update: 2026-08-04T03:09:13+00:00