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.
In Plain Language
Detailed specialist visit; Medical consultation
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 |
| Total RVU | 2.69 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 2.69, this code ranks in the 80th percentile among Evaluation & Management codes — 1.7x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99244?
CPT 99244 (Off/outpatient cnsltj new/established mod 40) is a Evaluation & Management code. Office or other outpatient consultations for a new or established patient with moderate medical decision-making complexity and an expected time of 40 minutes.
Who uses CPT code 99244?
CPT 99244 is used by Specialist Physicians, All Specialties. 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.
When is CPT 99244 used?
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.
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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.