{
    "code": "99292",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99292/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/99292/2021/C",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99292 in Q3 2021?",
        "text": "Medicare paid $123.87 for CPT 99292 in the office (non-facility) setting and $110.96 in a facility under the Q3 2021 Physician Fee Schedule, effective July 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 1.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "C",
        "label": "Q3 2021",
        "effective": "July 1 – September 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 123.87,
        "facility": 110.96,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.25,
        "practice_expense_non_facility": 1.09,
        "practice_expense_facility": 0.72,
        "malpractice": 0.21
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q3 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/C",
        "file": "PPRRVU21_JUL.csv",
        "row": 17265,
        "sha256": "ee14b5306942acfe4554d2d7cf3fe95d7b1a0f41fc7a0445bc2d06df857dd7b6"
    },
    "modified_at": "2026-08-04T03:10:45+00:00"
}