{
    "code": "99239",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99239/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/99239/2022/C",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99239 in Q3 2022?",
        "text": "Medicare paid $105.20 for CPT 99239 in the office (non-facility) setting and $105.20 in a facility under the Q3 2022 Physician Fee Schedule, effective July 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 1.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "C",
        "label": "Q3 2022",
        "effective": "July 1 – September 30, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 105.2,
        "facility": 105.2,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.9,
        "practice_expense_non_facility": 1.02,
        "practice_expense_facility": 1.02,
        "malpractice": 0.12
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q3 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/C",
        "file": "PPRRVU22_JUL.csv",
        "row": 17534,
        "sha256": "f0a493a192a21b1faa980aa71d22c8ae064e87b564f51a67e1229fcee376df41"
    },
    "modified_at": "2026-08-04T03:11:49+00:00"
}