# CPT 99349

> Medicare paid $129.10 for CPT 99349 in the office (non-facility) setting and $129.10 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.5% decrease from the previous quarter.

## 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: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $129.10
- Facility national allowed amount: $129.10
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.33
- Office (non-facility) practice expense RVU: 1.22
- Facility practice expense RVU: 1.22
- Malpractice RVU: 0.15
- 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 (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 17,218
- Canonical page: https://localishealth.com/cpt/99349/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/99349/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00