# CPT 99305

> Medicare paid $131.40 for CPT 99305 in the office (non-facility) setting and $131.40 in a facility under the Q3 2016 Physician Fee Schedule, effective July 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 0.6%.

## What it is

The first full visit a physician or advanced practice clinician makes to a patient newly admitted to a skilled nursing facility or long-term care unit. It covers a complete history, an examination, and a plan for the stay. This is the middle of the three admission-visit levels: the thinking involved is moderately complex, such as several active problems at once, a new diagnosis that still needs sorting out, or medications that need real adjustment rather than simple continuation. Total time devoted to the patient on that day commonly lands in the mid-thirties of minutes.

## Selected release

- Release: Q3 2016 (2016 C)
- Effective: July 1 – September 30, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $131.40
- Facility national allowed amount: $131.40
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.35
- Office (non-facility) practice expense RVU: 1.17
- Facility practice expense RVU: 1.17
- Malpractice RVU: 0.15
- 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 (Q3 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip
- Parsed file: PPRRVU16_V0517.csv, row 16,192
- Canonical page: https://localishealth.com/cpt/99305/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/99305/2016/C
- Last significant update: 2026-08-04T03:06:56+00:00