# CPT 99316

> Medicare paid $105.03 for CPT 99316 in the office (non-facility) setting and $105.03 in a facility under the Q3 2021 Physician Fee Schedule, effective July 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 2.0%.

## What it is

The wrap-up work a clinician does on the day a resident leaves a nursing facility: a final examination, a conversation with the patient and family about what happens next, final prescriptions, written instructions, and arranging follow-up care or referrals. This is the longer of the two discharge codes, used when that work runs beyond about half an hour; the shorter version covers everything done in less time.

## Selected release

- Release: Q3 2021 (2021 C)
- Effective: July 1 – September 30, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $105.03
- Facility national allowed amount: $105.03
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.90
- Office (non-facility) practice expense RVU: 0.98
- Facility practice expense RVU: 0.98
- Malpractice RVU: 0.13
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip
- Parsed file: PPRRVU21_JUL.csv, row 17,274
- Canonical page: https://localishealth.com/cpt/99316/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/99316/2021/C
- Last significant update: 2026-08-04T03:10:45+00:00