# CPT 99349

> Medicare paid $129.25 for CPT 99349 in the office (non-facility) setting and $129.25 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.1%.

## What it is

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.

## Selected release

- Release: Q3 2016 (2016 C)
- Effective: July 1 – September 30, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $129.25
- Facility national allowed amount: $129.25
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.33
- Office (non-facility) practice expense RVU: 1.12
- Facility practice expense RVU: 1.12
- Malpractice RVU: 0.16
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip
- Parsed file: PPRRVU16_V0517.csv, row 16,219
- Canonical page: https://localishealth.com/cpt/99349/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/99349/2016/C
- Last significant update: 2026-08-04T03:06:56+00:00