Hospital inpatient & observation

99232 - RVUs & Medicare payment (2026)

Subsequent hospital or observation visit, level 2.

Component	Non-facility	Facility
Work RVU	1.59	1.59
Practice expense RVU	0.40	0.40
Malpractice RVU	0.12	0.12
Total RVUs	2.11	2.11
National payment (CF $33.4009)	$70.48	$70.48
Qualifying APM payment (CF $33.5675)	$70.83	$70.83

How 99232 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 99232 ranges from $66.65 in Arkansas (AR) to $96.10 in Alaska (AK); calculate 99232 for your locality.

Alaska (AK) $96.10 San Jose-Sunnyvale-Santa Clara (CA) $80.36 NYC Suburbs/Long Island (NY) $79.83 San Jose-Sunnyvale-Santa Clara (CA) $79.81 San Francisco-Oakland-Berkeley (CA) $78.83 San Francisco-Oakland-Berkeley (CA) $78.69 Manhattan (NY) $78.39 Queens (NY) $78.08 National average $70.48 … 97 more localities between … Alabama (AL) $67.07 Nebraska (NE) $66.95 Iowa (IA) $66.92 Arkansas (AR) $66.65

Non-facility payment for 99232 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - hospital inpatient & observation

99221 · initial hospital or observation visit, level 1
99222 · initial hospital or observation visit, level 2
99223 · initial hospital or observation visit, level 3
99231 · subsequent hospital or observation visit, level 1
99233 · subsequent hospital or observation visit, level 3
99238 · hospital discharge management, 30 minutes or less
99239 · hospital discharge management, more than 30 minutes

Frequently asked questions

How much does Medicare pay for 99232 in 2026?

The national non-facility payment is $70.48 and the facility payment is $70.48, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 99232?

The 2026 work RVU for 99232 is 1.59. Total RVUs are 2.11 in the non-facility setting and 2.11 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.