# CPT 99345

> Medicare paid $220.52 for CPT 99345 in the office (non-facility) setting and $220.52 in a facility under the Q2 2021 Physician Fee Schedule, effective April 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 2.5%.

## What it is

The most demanding first-time house call, for a patient new to the practice whose condition requires high-complexity decision-making — severe or unstable illness, several serious conditions interacting, or a problem that could quickly become life-threatening. The clinician does a full evaluation in the patient's own home and builds an initial plan. It is the longest of the new-patient home visit levels.

## Selected release

- Release: Q2 2021 (2021 B)
- Effective: April 1 – June 30, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $220.52
- Facility national allowed amount: $220.52
- Sequestration: not applied

## RVUs and formula

- Work RVU: 4.09
- Office (non-facility) practice expense RVU: 1.92
- Facility practice expense RVU: 1.92
- Malpractice RVU: 0.31
- 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 (Q2 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip
- Parsed file: PPRRVU21_APR.csv, row 17,226
- Canonical page: https://localishealth.com/cpt/99345/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/99345/2021/B
- Last significant update: 2026-08-04T03:10:33+00:00