# CPT 99239

> Medicare paid $108.13 for CPT 99239 in the office (non-facility) setting and $108.13 in a facility under the Q4 2016 Physician Fee Schedule, effective October 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.7%.

## What it is

The physician work of getting a patient out of the hospital on the final day of the stay: a last examination, going through the stay and the instructions with the patient and family, reconciling the medication list, arranging follow-up, and finishing the discharge records. It is the longer of the two discharge day codes — this one applies when the discharge-related work that day adds up to more than half an hour, while the shorter code covers thirty minutes or less. The time need not be continuous or all at the bedside, but it does have to be documented.

## Selected release

- Release: Q4 2016 (2016 D)
- Effective: October 1 – December 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $108.13
- Facility national allowed amount: $108.13
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.90
- Office (non-facility) practice expense RVU: 1.00
- Facility practice expense RVU: 1.00
- Malpractice RVU: 0.12
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip
- Parsed file: PPRRVU16_V0804.csv, row 16,182
- Canonical page: https://localishealth.com/cpt/99239/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/99239/2016/D
- Last significant update: 2026-08-04T03:07:13+00:00