2022 Final Physician Fee Schedule (CMS-1751-F) Payment Rates for ...

CPT Code

99202

99203

99204

99205

99211

99212

99213

99214

99215

99417

G2211

G2212

99221

99222

99223

99231

99232

99233

99291

99292

99421

99422

99423

99446

99447

99448

99449

99451

99452

99453

99454

99457

99458

99471

99472

99487

99489

99490

99491

99495

99496

G0396

G0397

G0506

G2064

G2065

99437

99424

99425

99426

99427

Descriptor

Office/outpatient visit new

Office/outpatient visit new

Office/outpatient visit new

Office/outpatient visit new

Office/outpatient visit est

Office/outpatient visit est

Office/outpatient visit est

Office/outpatient visit est

Office/outpatient visit est

Prolng off/op e/m ea 15 min

Complex e/m visit add on

Prolong outpt/office vis

Initial hospital care

Initial hospital care

Initial hospital care

Subsequent hospital care

Subsequent hospital care

Subsequent hospital care

Critical care first hour

Critical care addl 30 min

Ol dig e/m svc 5-10 min

Ol dig e/m svc 11-20 min

Ol dig e/m svc 21+ min

Interprof phone/online 5-10

Interprof phone/online 11-20

Interprof phone/online 21-30

Interprof phone/online 31/>

Ntrprof ph1/ntrnet/ehr 5/>

Ntrprof ph1/ntrnet/ehr rfrl

Rem mntr physiol param setup

Rem mntr physiol param dev

Rem physiol mntr 20 min mo

Rem physiol mntr ea addl 20

Ped critical care initial

Ped critical care subsq

Cmplx chron care w/o pt vsit

Cmplx chron care addl 30 min

Chron care mgmt srvc 20 min

Chrnc care mgmt svc 30 min

Trans care mgmt 14 day disch

Trans care mgmt 7 day disch

Alcohol/subs interv 15-30mn

Alcohol/subs interv >30 min

Comp asses care plan ccm svc

Md mang high risk dx 30

Clin mang h risk dx 30

Chrnc care mgmt phys ea addl

Prin care mgmt phys 1st 30

Prin care mgmt phys ea addl

Prin care mgmt staff 1st 30

Prin care mgmt staff ea addl

RVUs

2022 Final Physician Fee Schedule (CMS-1751-F)

Payment Rates for Medicare Physician Services - Evaluation and Management

NON-FACILITY (OFFICE)

2022

2021

% payment change

Payment CF=$33.5983

RVUs

Payment CF=$34.8931

RVUs

2021 to 2022

2.14

3.29

4.90

6.48

0.68

1.66

2.66

3.75

5.29

0.66

DELAYED UNTIL 2024

0.96

NA

NA

NA

NA

NA

NA

8.16

3.56

0.44

0.86

1.4

0.54

1.06

1.59

2.13

1.05

1.07

0.55

1.61

1.45

1.18

NA

NA

3.88

2.04

1.85

2.49

6.04

8.14

1.04

2.00

1.81

DELETED

DELETED

1.77

2.41

1.74

1.83

1.4

$71.87

$110.49

$164.57

$217.63

$22.84

$55.75

$89.34

$125.94

$177.66

$22.17

DELAYED UNTIL 2024

$32.24

NA

NA

NA

NA

NA

NA

$274.05

$119.56

$14.78

$28.88

$47.02

$18.14

$35.60

$53.40

$71.54

$35.26

$35.94

$18.47

$54.07

$48.70

$39.63

NA

NA

$130.31

$68.51

$62.13

$83.63

$202.85

$273.38

$34.93

$67.17

$60.79

DELETED

DELETED

$59.45

$80.94

$58.44

$61.46

$47.02

2.13

3.28

4.93

6.51

0.68

1.67

2.68

3.81

5.33

0

DELAYED UNTIL 2024

0.97

NA

NA

NA

NA

NA

NA

8.19

3.56

0.43

0.86

1.4

0.53

1.00

1.55

2.11

1.05

1.05

0.58

1.91

1.49

1.2

NA

NA

2.73

1.28

1.20

2.40

6.10

8.24

1.05

1.95

1.83

2.64

1.12

NEW CODE

NEW CODE

NEW CODE

NEW CODE

NEW CODE

$74.32

$114.45

$172.02

$227.15

$23.73

$58.27

$93.51

$132.94

$185.98

$0.00

DELAYED UNTIL 2024

$33.85

NA

NA

NA

NA

NA

NA

$285.77

$124.22

$15.00

$30.01

$48.85

$18.49

$34.89

$54.08

$73.62

$36.64

$36.64

$20.24

$66.65

$51.99

$41.87

NA

NA

$95.26

$44.66

$41.87

$83.74

$212.85

$287.52

$36.64

$68.04

$63.85

$92.12

$39.08

NEW CODE

NEW CODE

NEW CODE

NEW CODE

NEW CODE

-3.3%

-3.5%

-4.3%

-4.2%

-3.7%

-4.3%

-4.5%

-5.3%

-4.5%

NEW CODE

DELAYED UNTIL 2024

-4.7%

NA

NA

NA

NA

NA

NA

-4.1%

-3.7%

-1.5%

-3.7%

-3.7%

-1.9%

2.0%

-1.3%

-2.8%

-3.7%

-1.9%

-8.7%

-18.9%

-6.3%

-5.4%

NA

NA

36.8%

53.4%

48.4%

-0.1%

-4.7%

-4.9%

-4.7%

-1.3%

-4.8%

NA

NA

NEW CODE

NEW CODE

NEW CODE

NEW CODE

NEW CODE

1.43

2.44

3.95

5.36

0.26

1.06

1.95

2.86

4.25

0.66

DELAYED UNTIL 2024

0.93

2.91

3.91

5.73

1.12

2.06

2.96

6.33

3.18

0.38

0.75

1.21

0.54

1.06

1.59

2.13

1.05

1.07

NA

NA

0.90

0.9

22.94

11.70

2.68

1.48

1.49

2.24

4.18

5.66

0.95

1.91

1.31

DELETED

DELETED

1.51

2.18

1.52

1.46

1.03

2022

FACILITY (HOSPITAL)

2021

Payment CF=$33.5983

RVUs

Payment CF=$34.8931

% payment change

2021 to 2022

$48.03

$81.95

$132.66

$180.01

$8.73

$35.60

$65.49

$96.05

$142.74

$22.17

DELAYED UNTIL 2024

$31.23

$97.73

$131.32

$192.44

$37.61

$69.18

$99.41

$212.59

$106.80

$12.76

$25.19

$40.64

$18.14

$35.60

$53.40

$71.54

$35.26

$35.94

NA

NA

$30.23

$30.23

$770.44

$392.94

$90.01

$49.71

$50.04

$75.23

$140.38

$190.09

$31.91

$64.15

$44.00

DELETED

DELETED

$50.71

$73.21

$51.05

$49.03

$34.59

1.42

2.42

3.96

5.38

0.27

1.06

1.95

2.88

4.27

0

DELAYED UNTIL 2024

0.93

2.90

3.92

5.78

1.12

2.07

2.96

6.35

3.18

0.37

0.74

1.21

0.53

1.00

1.55

2.11

1.05

1.05

NA

NA

0.92

0.91

22.91

11.64

1.51

0.74

0.92

2.40

4.20

5.72

0.95

1.86

1.32

2.22

1.12

NEW CODE

NEW CODE

NEW CODE

NEW CODE

NEW CODE

$49.55

$84.44

$138.18

$187.72

$9.42

$36.99

$68.04

$100.49

$148.99

$0.00

DELAYED UNTIL 2024

$32.45

$101.19

$136.78

$201.68

$39.08

$72.23

$103.28

$221.57

$110.96

$12.91

$25.82

$42.22

$18.49

$34.89

$54.08

$73.62

$36.64

$36.64

NA

NA

$32.10

$31.75

$799.40

$406.16

$52.69

$25.82

$32.10

$83.74

$146.55

$199.59

$33.15

$64.90

$46.06

$77.46

$39.08

NEW CODE

NEW CODE

NEW CODE

NEW CODE

NEW CODE

-3.1%

-3.0%

-4.0%

-4.1%

-7.3%

-3.7%

-3.7%

-4.4%

-4.2%

NEW CODE

DELAYED UNTIL 2024

NEW CODE

-3.4%

-4.0%

-4.6%

-3.7%

-4.2%

-3.7%

-4.1%

-3.7%

NA

NA

NA

-1.9%

2.0%

-1.3%

-2.8%

-3.7%

-1.9%

NA

NA

-5.8%

NA

-3.6%

-3.3%

70.8%

92.5%

55.9%

-10.2%

-4.2%

-4.8%

-3.7%

-1.2%

-4.5%

NA

NA

NEW CODE

NEW CODE

NEW CODE

NEW CODE

NEW CODE

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