# CPT 99306

> Medicare paid $182.31 for CPT 99306 in the office (non-facility) setting and $182.31 in a facility under the Q3 2023 Physician Fee Schedule, effective July 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it increased 10.7%.

## 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: Q3 2023 (2023 C)
- Effective: July 1 – September 30, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $182.31
- Facility national allowed amount: $182.31
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.50
- Office (non-facility) practice expense RVU: 1.66
- Facility practice expense RVU: 1.66
- Malpractice RVU: 0.22
- Conversion factor: 33.8872
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23c.zip
- Parsed file: PPRRVU23_JUL.csv, row 18,008
- Canonical page: https://localishealth.com/cpt/99306/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/99306/2023/C
- Last significant update: 2026-08-04T03:12:57+00:00