{
    "code": "99442",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99442/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/99442/2022/C",
    "description": "The middle time band of the audio-only telephone consultation family: a voice call between an established patient and their physician or other qualified clinician, with medical discussion running roughly eleven to twenty minutes. The service is the same as the shorter and longer versions — history taking, assessment, and a plan delivered over the phone — and only the amount of discussion time separates them.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99442 in Q3 2022?",
        "text": "Medicare paid $91.71 for CPT 99442 in the office (non-facility) setting and $67.14 in a facility under the Q3 2022 Physician Fee Schedule, effective July 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 1.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "C",
        "label": "Q3 2022",
        "effective": "July 1 – September 30, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 91.71,
        "facility": 67.14,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.3,
        "practice_expense_non_facility": 1.26,
        "practice_expense_facility": 0.55,
        "malpractice": 0.09
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q3 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/C",
        "file": "PPRRVU22_JUL.csv",
        "row": 17637,
        "sha256": "f0a493a192a21b1faa980aa71d22c8ae064e87b564f51a67e1229fcee376df41"
    },
    "modified_at": "2026-08-04T03:11:49+00:00"
}