99243 Off/outpatient cnsltj new/established low 30
Also known as: office consultation low, specialist visit, outpatient consult, office consult level 3
Office or other outpatient consultations for a new or established patient with low medical decision-making complexity and an expected time of 30 minutes.
Clinical Context
Used for office-based consultations with low medical decision-making complexity, such as evaluation of specific problems with straightforward diagnostic or therapeutic considerations.
RVU Breakdown
| Work RVU | 1.80 |
| Practice Expense RVU | 1.46 |
| Malpractice RVU | 0.11 |
| Total RVU | 3.37 |
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.