# CPT 99306

> Medicare paid $169.98 for CPT 99306 in the office (non-facility) setting and $169.98 in a facility under the Q1 2020 Physician Fee Schedule, effective January 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.4% increase from the previous quarter.

## 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: Q1 2020 (2020 A)
- Effective: January 1 – March 31, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $169.98
- Facility national allowed amount: $169.98
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.06
- Office (non-facility) practice expense RVU: 1.46
- Facility practice expense RVU: 1.46
- Malpractice RVU: 0.19
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20a-updated-01312020.zip
- Parsed file: PPRRVU20_Jan.csv, row 17,103
- Canonical page: https://localishealth.com/cpt/99306/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/99306/2020/A
- Last significant update: 2026-08-04T03:09:22+00:00