# CPT 99483

> Medicare paid $241.92 for CPT 99483 in the office (non-facility) setting and $178.92 in a facility under the Q4 2018 Physician Fee Schedule, effective October 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment.

## What it is

A single, unusually thorough visit built around a patient with confirmed or suspected cognitive decline, ending in a written care plan. The clinician works through the patient's thinking and memory using a standardized tool, reviews medications for drugs that worsen confusion, checks safety issues such as driving and living alone, screens for depression and behavioural symptoms, and assesses how much the caregiver is carrying. It is far broader than a routine visit for the same patient, and the deliverable is a documented plan shared with the patient and caregiver.

## Selected release

- Release: Q4 2018 (2018 D)
- Effective: October 1 – December 31, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $241.92
- Facility national allowed amount: $178.92
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.44
- Office (non-facility) practice expense RVU: 3.08
- Facility practice expense RVU: 1.33
- Malpractice RVU: 0.20
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18d.zip
- Parsed file: PPRRVU18_OCT.csv, row 16,660
- Canonical page: https://localishealth.com/cpt/99483/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/99483/2018/D
- Last significant update: 2026-08-04T03:08:37+00:00