# CPT 99306

> Medicare paid $169.38 for CPT 99306 in the office (non-facility) setting and $169.38 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 0.3%.

## What it is

The admission visit for a nursing facility patient whose situation is the most demanding of the three initial levels. Same basic work as the lower levels — full history, exam, and a plan of care for the stay — but the decision-making is high complexity: a medically unstable patient, several severe chronic illnesses interacting, or a new problem that threatens life or function. It typically involves the longest time on the admission day, often around three quarters of an hour or more.

## Selected release

- Release: Q2 2019 (2019 B)
- Effective: April 1 – June 30, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $169.38
- Facility national allowed amount: $169.38
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.06
- Office (non-facility) practice expense RVU: 1.45
- Facility practice expense RVU: 1.45
- Malpractice RVU: 0.19
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip
- Parsed file: PPRRVU19_APR.csv, row 16,843
- Canonical page: https://localishealth.com/cpt/99306/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/99306/2019/B
- Last significant update: 2026-08-04T03:08:53+00:00