{
    "code": "99305",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99305/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/99305/2021/B",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99305 in Q2 2021?",
        "text": "Medicare paid $129.45 for CPT 99305 in the office (non-facility) setting and $129.45 in a facility under the Q2 2021 Physician Fee Schedule, effective April 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": "B",
        "label": "Q2 2021",
        "effective": "April 1 – June 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 129.45,
        "facility": 129.45,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.35,
        "practice_expense_non_facility": 1.21,
        "practice_expense_facility": 1.21,
        "malpractice": 0.15
    },
    "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 (Q2 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/B",
        "file": "PPRRVU21_APR.csv",
        "row": 17202,
        "sha256": "524bee7096166c9011a4ea02189783ef8c91f4d444585e5b2d561b879f9262de"
    },
    "modified_at": "2026-08-04T03:10:33+00:00"
}