Hospital inpatient & observation

99239 - RVUs & Medicare payment (2026)

Hospital discharge management, more than 30 minutes.

Component	Non-facility	Facility
Work RVU	2.15	2.15
Practice expense RVU	0.88	0.88
Malpractice RVU	0.16	0.16
Total RVUs	3.19	3.19
National payment (CF $33.4009)	$106.55	$106.55
Qualifying APM payment (CF $33.5675)	$107.08	$107.08

How 99239 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 99239 ranges from $99.81 in Arkansas (AR) to $141.97 in Alaska (AK); calculate 99239 for your locality.

Alaska (AK) $141.97 San Jose-Sunnyvale-Santa Clara (CA) $124.96 San Jose-Sunnyvale-Santa Clara (CA) $124.22 San Francisco-Oakland-Berkeley (CA) $122.53 San Francisco-Oakland-Berkeley (CA) $122.35 NYC Suburbs/Long Island (NY) $121.28 Manhattan (NY) $119.04 Queens (NY) $118.86 National average $106.55 … 97 more localities between … Nebraska (NE) $100.96 Iowa (IA) $100.83 Alabama (AL) $100.56 Arkansas (AR) $99.81

Non-facility payment for 99239 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
99232 · subsequent hospital or observation visit, level 2
99233 · subsequent hospital or observation visit, level 3
99238 · hospital discharge management, 30 minutes or less

Frequently asked questions

How much does Medicare pay for 99239 in 2026?

The national non-facility payment is $106.55 and the facility payment is $106.55, 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 99239?

The 2026 work RVU for 99239 is 2.15. Total RVUs are 3.19 in the non-facility setting and 3.19 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.