99213
2026 Physician Fee Schedule
CF: $32.74
99213 Medicare RVU & Reimbursement Breakdown
Office or other outpatient visit, established patient, low level MDM, 20-29 minutes
Work RVU (wRVU)
1.30
Physician clinical time & intensity
Practice Expense (PE) RVU
1.48
Office staff, supplies & equipment
Malpractice (MP) RVU
0.10
Professional liability premium risk
Est. Non-Facility Payment
$94.29
Total Non-Fac RVU: 2.88
Detailed RVU Components by Service Setting
| Setting Description | Work RVU | PE RVU | MP RVU | Total RVU | Conversion Factor | Allowable Payment |
|---|---|---|---|---|---|---|
| Non-Facility (Office / Clinic) | 1.30 | 1.48 | 0.10 | 2.88 | $32.74 | $94.29 |
| Facility (Hospital / ASC / ED) | 1.30 | 0.69 | 0.10 | 2.09 | $32.74 | $68.43 |
GPCI Locality Pricing
Adjust 99213 for Your Exact Geographic Locality
Medicare payment varies by county and region. Use our interactive RVU calculator to apply specific Medicare contractor GPCI indexes and determine your exact local allowable.