{
    "code": "99349",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99349/2015/A",
    "release_specific_url": "https://localishealth.com/cpt/99349/2015/C",
    "description": "A follow-up house call to a known patient where the judgment involved is moderately complex — several chronic conditions being managed together, one of them not fully controlled, or a new problem that needs tests and a medication change. It is the workhorse level for home-based primary care, sitting between the routine check and the visit for a genuinely unstable patient.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99349 in Q3 2015?",
        "text": "Medicare paid $128.72 for CPT 99349 in the office (non-facility) setting and $128.72 in a facility under the Q3 2015 Physician Fee Schedule, effective July 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2015, when it increased 0.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "C",
        "label": "Q3 2015",
        "effective": "July 1 – September 30, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 128.72,
        "facility": 128.72,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.33,
        "practice_expense_non_facility": 1.12,
        "practice_expense_facility": 1.12,
        "malpractice": 0.15
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.7547,
    "source": {
        "label": "Physician relative value file (Q3 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/C",
        "file": "PPRRVU15_UP0.V0515.csv",
        "row": 15997,
        "sha256": "f1b114a70a3e0897273d46b1bfe0eca991d563f8c35c7a652e9f0c8472b2862a"
    },
    "modified_at": "2026-08-04T03:06:00+00:00"
}