Mod sed other phys/qhp ea

2025 Medicare reimbursement data for CPT 99157.

Non-facility rate

$55.31

2025 Medicare national average

Facility rate

$55.31

2025 Medicare national average

RVU breakdown

Work RVU

1.25

PE RVU (NF)

0.33

MP RVU

0.13

Total RVU

1.71

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

Detailed guide coming soon.

Rate data above is live and current. Full billing guide for this code is being generated.