# CPT 99350

> Medicare paid $179.38 for CPT 99350 in the office (non-facility) setting and $179.38 in a facility under the Q4 2016 Physician Fee Schedule, effective October 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 increased 0.2%.

## What it is

The most involved follow-up house call for a patient the practice already knows, used when the patient is unstable or has a problem serious enough to threaten life or function. Decision-making is high complexity and the visit is the longest of the follow-up levels — often including a decision about whether the patient can safely stay at home, and a conversation with family about goals of care.

## Selected release

- Release: Q4 2016 (2016 D)
- Effective: October 1 – December 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $179.38
- Facility national allowed amount: $179.38
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.28
- Office (non-facility) practice expense RVU: 1.50
- Facility practice expense RVU: 1.50
- Malpractice RVU: 0.23
- 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 (Q4 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip
- Parsed file: PPRRVU16_V0804.csv, row 16,230
- Canonical page: https://localishealth.com/cpt/99350/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/99350/2016/D
- Last significant update: 2026-08-04T03:07:13+00:00