# CPT 99292

> Medicare paid $124.33 for CPT 99292 in the office (non-facility) setting and $113.55 in a facility under the Q4 2015 Physician Fee Schedule, effective October 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter.

## What it is

Further critical care time on the same calendar day, once the block of time covered by the primary critical care code has been used up. It is counted in additional half-hour increments and is always reported alongside that primary code, never on its own. It exists so that a patient who needs hours of continuous physician attention is accounted for accurately rather than capped at the first code.

## Selected release

- Release: Q4 2015 (2015 D)
- Effective: October 1 – December 31, 2015
- Status indicator: A
- Office (non-facility) national allowed amount: $124.33
- Facility national allowed amount: $113.55
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.25
- Office (non-facility) practice expense RVU: 1.02
- Facility practice expense RVU: 0.72
- Malpractice RVU: 0.19
- Conversion factor: 35.9335
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2015)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15d.zip
- Parsed file: PPRRVU15_OCT05_V1001.csv, row 15,974
- Canonical page: https://localishealth.com/cpt/99292/2015/D
- Release-specific citation URL: https://localishealth.com/cpt/99292/2015/D
- Last significant update: 2026-08-04T03:06:14+00:00