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

CPT Code

Descriptor

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

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

2021 to 2022

RVUs

2022 Payment CF=$33.5983

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

$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

FACILITY (HOSPITAL) 2021

RVUs

Payment CF=$34.8931

% payment change 2021 to 2022

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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