CPT code 99244: Office consultation, moderate level2026 Medicare rate & RVUs in Florida
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 doesn’t publish an office rate for 99244 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
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
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
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.
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
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