99211
E/M EstCMS status: AOffice or other outpatient visit, established patient, that may not require physician/QHP presence.
Work RVU
0.18
Practice RVU
0.54
Malpractice RVU
0.01
Total RVU
0.73
2026 Medicare payment
$24.38
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99211 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Nurse visit, BP check, suture removal, INR check with no MD decision-making. The lowest-level code in the family.
Documentation checklist
- ✓Reason for the visit.
- ✓Clinical staff observations.
- ✓Physician/QHP supervision documented (general supervision required, presence not required).
- ✓Any action taken or communication with provider.
Common pitfalls
- !Billed without any clinical staff service occurring.
- !Used as a 'placeholder' for a non-billable contact.
Common modifiers
25 (rare)
Common ICD-10 pairings
I10Z79.01
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.