99244 Off/outpatient cnsltj new/established mod 40
Also known as: office consultation moderate, specialist consult, consultation, office consult level 4
Office or other outpatient consultations for a new or established patient with moderate medical decision-making complexity and an expected time of 40 minutes.
Clinical Context
Used for office-based consultations with moderate medical decision-making complexity, involving evaluation of multiple problems or a single complex problem requiring specialist evaluation and recommendations.
RVU Breakdown
| Work RVU | 2.69 |
| Practice Expense RVU | 1.96 |
| Malpractice RVU | 0.17 |
| Total RVU | 4.82 |
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.