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Physician Service
99212 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Office o/p est sf 10 min.
$59.45
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
Office o/p est sf 10 min
2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | 0.7 | 0.7 |
| Practice Expense (PE) | 1.02 | 0.17 |
| Malpractice (MP) | 0.06 | 0.06 |
| Total RVUs | 1.78 | 0.93 |