# CPT 99345

> Medicare paid $218.02 for CPT 99345 in the office (non-facility) setting and $218.02 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 1.1%.

## 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: Q4 2022 (2022 D)
- Effective: October 1 – December 31, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $218.02
- Facility national allowed amount: $218.02
- Sequestration: not applied

## RVUs and formula

- Work RVU: 4.09
- Office (non-facility) practice expense RVU: 1.93
- Facility practice expense RVU: 1.93
- Malpractice RVU: 0.28
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22d.zip
- Parsed file: PPRRVU22_OCT.csv, row 17,609
- Canonical page: https://localishealth.com/cpt/99345/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/99345/2022/D
- Last significant update: 2026-08-04T03:12:03+00:00