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Physician Service

99211 Medicare Reimbursement Rate (2026)

Current CMS pricing and breakdown for Off/op est may x req phy/qhp.

CPT Code 99211

National Average Payment

Non-Facility (Private Office) Rate

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$24.38
Effective Jan 1, 2026

⚠️ This is a National Estimate

Your actual reimbursement depends on your specific Zip Code and GPCI adjustments (e.g., New York vs. Texas).

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Code Description

Off/op est may x req phy/qhp

2026 Breakdown

ComponentOffice (Non-Fac)Facility (Hosp)
Work RVU0.180.18
Practice Expense (PE)0.540.04
Malpractice (MP)0.010.01
Total RVUs0.730.23

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Nearby Codes

9921099212