99211 Off/outpatient established may x req phy/qhp
Also known as: nurse visit, established visit minimal, may not require physician, established patient office visit level 1, minimal visit
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or qualified health professional. This visit involves minimal medical decision-making.
Clinical Context
Used for brief established patient office visits that can be conducted by nursing or clinical staff, such as vital signs monitoring, medication refills, or simple follow-up questions.
RVU Breakdown
| Work RVU | 0.18 |
| Practice Expense RVU | 0.54 |
| Malpractice RVU | 0.01 |
| Total RVU | 0.73 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.