# CPT 99310

> Medicare paid $153.51 for CPT 99310 in the office (non-facility) setting and $153.51 in a facility under the Q1 2023 Physician Fee Schedule, effective January 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 14.9% increase from the previous quarter.

## 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: Q1 2023 (2023 A)
- Effective: January 1 – March 31, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $153.51
- Facility national allowed amount: $153.51
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.80
- Office (non-facility) practice expense RVU: 1.54
- Facility practice expense RVU: 1.54
- Malpractice RVU: 0.19
- 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 (Q1 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23a-updated-01/31/2023.zip
- Parsed file: PPRRVU23_JAN.csv, row 17,890
- Canonical page: https://localishealth.com/cpt/99310/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/99310/2023/A
- Last significant update: 2026-08-04T03:12:22+00:00