# CPT 99292

> Medicare paid $124.53 for CPT 99292 in the office (non-facility) setting and $113.77 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. 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: Q1 2017 (2017 A)
- Effective: January 1 – March 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $124.53
- Facility national allowed amount: $113.77
- 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: 0.20
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip
- Parsed file: PPRRVU17_V1219.csv, row 16,356
- Canonical page: https://localishealth.com/cpt/99292/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/99292/2017/A
- Last significant update: 2026-08-04T03:07:28+00:00
