{
    "code": "99306",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99306/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/99306/2022/C",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99306 in Q3 2022?",
        "text": "Medicare paid $164.73 for CPT 99306 in the office (non-facility) setting and $164.73 in a facility under the Q3 2022 Physician Fee Schedule, effective July 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 1.0%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "C",
        "label": "Q3 2022",
        "effective": "July 1 – September 30, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 164.73,
        "facility": 164.73,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.06,
        "practice_expense_non_facility": 1.5,
        "practice_expense_facility": 1.5,
        "malpractice": 0.2
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q3 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/C",
        "file": "PPRRVU22_JUL.csv",
        "row": 17555,
        "sha256": "f0a493a192a21b1faa980aa71d22c8ae064e87b564f51a67e1229fcee376df41"
    },
    "modified_at": "2026-08-04T03:11:49+00:00"
}