# CPT 99310

> Medicare paid $137.67 for CPT 99310 in the office (non-facility) setting and $137.67 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 0.7%.

## What it is

The most involved of the nursing facility follow-up visits, for a resident who has become unstable or has developed a problem serious enough to threaten life or function. Decision-making is high complexity: weighing hospital transfer, managing several failing systems at once, or reconsidering goals of care with the family. It carries the longest expected time of the follow-up levels.

## Selected release

- Release: Q2 2019 (2019 B)
- Effective: April 1 – June 30, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $137.67
- Facility national allowed amount: $137.67
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.35
- Office (non-facility) practice expense RVU: 1.31
- Facility practice expense RVU: 1.31
- Malpractice RVU: 0.16
- 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 16,847
- Canonical page: https://localishealth.com/cpt/99310/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/99310/2019/B
- Last significant update: 2026-08-04T03:08:53+00:00