Nursing facility & home visits

99306 - RVUs & Medicare payment (2026)

Initial nursing facility visit, level 3.

Component	Non-facility	Facility
Work RVU	3.50	3.50
Practice expense RVU	2.05	1.16
Malpractice RVU	0.23	0.23
Total RVUs	5.78	4.89
National payment (CF $33.4009)	$193.06	$163.33
Qualifying APM payment (CF $33.5675)	$194.02	$164.15

How 99306 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 99306 ranges from $179.68 in Arkansas (AR) to $252.51 in Alaska (AK); calculate 99306 for your locality.

Alaska (AK) $252.51 San Jose-Sunnyvale-Santa Clara (CA) $232.62 San Jose-Sunnyvale-Santa Clara (CA) $231.55 San Francisco-Oakland-Berkeley (CA) $228.08 San Francisco-Oakland-Berkeley (CA) $227.82 NYC Suburbs/Long Island (NY) $220.06 Napa (CA) $218.42 Vallejo (CA) $218.04 National average $193.06 … 97 more localities between … Iowa (IA) $182.60 Mississippi (MS) $181.53 Alabama (AL) $181.16 Arkansas (AR) $179.68

Non-facility payment for 99306 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 - nursing facility & home visits

99304 · initial nursing facility visit, level 1
99305 · initial nursing facility visit, level 2
99307 · subsequent nursing facility visit, level 1
99308 · subsequent nursing facility visit, level 2
99309 · subsequent nursing facility visit, level 3
99310 · subsequent nursing facility visit, level 4
99315 · nursing facility discharge management, 30 minutes or less
99316 · nursing facility discharge management, more than 30 minutes
99341 · home or residence visit, new patient, level 1
99342 · home or residence visit, new patient, level 2
99344 · home or residence visit, new patient, level 4
99345 · home or residence visit, new patient, level 5
99347 · home or residence visit, established patient, level 1
99348 · home or residence visit, established patient, level 2
99349 · home or residence visit, established patient, level 3
99350 · home or residence visit, established patient, level 4

Frequently asked questions

How much does Medicare pay for 99306 in 2026?

The national non-facility payment is $193.06 and the facility payment is $163.33, 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 99306?

The 2026 work RVU for 99306 is 3.50. Total RVUs are 5.78 in the non-facility setting and 4.89 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.