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CPT code 99244: Office consultation, moderate level2026 Medicare rate & RVUs

A requested moderate-level office or outpatient consultation provides a physician's or qualified professional's evaluation and opinion for a new or established patient.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 99244

Office consultation, moderate level

Office or facility?

Work RVUs
2.69
Total RVUs
4.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 99244 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 99244 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 99244 covers

This service is a requested evaluation in an office or other outpatient setting, with the consultant assessing the patient's problem and giving an opinion or recommendations to the requesting practitioner. It may be reported for a new or established patient when the consultation meets the moderate level. The request and reason for the consultation, the consultant's assessment and recommendations, and communication of the findings to the requester support the consultation record.

Medicare assigns 99244 status I: it is not valid for Medicare, which uses a different code to report and pay for the service. For non-Medicare reporting, the moderate consultation level is based on moderate medical decision making or 40 minutes of total time on the encounter date. For Medicare, report the appropriate code for the service rather than 99244.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 99244 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99244 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

99244 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
99244 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 99244 rate is calculated

Each of 99244’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99244

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.69

2.69 RVUs× 1.000 GPCI

Practice expense1.96

1.96 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

4.8200

Conversion factor

$33.4009

Medicare rate

$160.99

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 99244

99244 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 99244

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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99244 isn’t priced in this setting.

99244 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 99244

    Office consultation, moderate level2.69 wRVU

    Not priced

  • 99242

    Office consultation, straightforward level1.08 wRVU

    Not priced

  • 99243

    Office consultation, low MDM, 30 minutes1.8 wRVU

    Not priced

  • 99245

    Office consultation, high level, 55 minutes3.75 wRVU

    Not priced

  • 99254

    Hospital consultation, moderate, 60-minute level2.72 wRVU

    Not priced

How to choose

99242Office consultationStraightforward level
99242 is a lower-level office or outpatient consultation, associated with straightforward medical decision making or 20 minutes. 99244 is the moderate consultation level.
99243Office consultationLow MDM, 30 minutes
99243 is the lower consultation level, associated with low medical decision making or 30 minutes. 99244 is moderate or 40 minutes.
99245Office consultationHigh level, 55 minutes
99245 is the higher consultation level, associated with high medical decision making or 55 minutes. 99244 is moderate or 40 minutes.
99254Hospital consultationModerate, 60-minute level
99254 is a moderate-level consultation for an inpatient or observation setting. 99244 is for an office or outpatient setting.

Codes related to 99244

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 99244
CodeHow it relatesNational office range
Same family
99242Office consultation, straightforward levelLower-level office or outpatient consultation; straightforward decision making or 20 minutes.No office rate
99243Office consultation, low MDM, 30 minutesLower-level office or outpatient consultation; low decision making or 30 minutes.No office rate
99245Office consultation, high level, 55 minutesHigher-level office or outpatient consultation; high decision making or 55 minutes.No office rate

99244 billing questions

Can 99244 be reported to Medicare?

No. Medicare status I means 99244 is not valid for Medicare; Medicare uses a different code to report and pay for the service.

What distinguishes a consultation from a routine office visit?

A consultation involves a request for an evaluation or advice and communication of the consultant's opinion or recommendations to the requesting practitioner. Document the request and the response.

When does the moderate consultation level apply?

For non-Medicare reporting, the level is based on moderate medical decision making or 40 minutes of total time on the encounter date.

Does 99244 apply to new and established patients?

Yes. The code applies to either patient status when the service is an office or outpatient consultation at the moderate level.

What documentation supports the consultation?

Document the requesting practitioner's request and its reason, the consultant's assessment and recommendations, and communication of the findings to the requester.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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