99242 Off/outpatient consltj new/established sf 20
Also known as: office consultation, specialist consult, brief consultation, office consult level 2
Office or other outpatient consultations for a new or established patient with straightforward medical decision-making complexity and an expected time of 20 minutes.
Clinical Context
Used for office-based consultation by a physician who is requested to evaluate and provide recommendations on specific problems or conditions for new or established patients with straightforward complexity.
RVU Breakdown
| Work RVU | 1.08 |
| Practice Expense RVU | 1.10 |
| Malpractice RVU | 0.07 |
| Total RVU | 2.25 |
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.