Nursing facility & home visits

99308 - RVUs & Medicare payment (2026)

Subsequent nursing facility visit, level 2.

Component	Non-facility	Facility
Work RVU	1.30	1.30
Practice expense RVU	0.98	0.65
Malpractice RVU	0.08	0.08
Total RVUs	2.36	2.03
National payment (CF $33.4009)	$78.83	$67.80
Qualifying APM payment (CF $33.5675)	$79.22	$68.14

How 99308 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 99308 ranges from $72.91 in Arkansas (AR) to $101.46 in Alaska (AK); calculate 99308 for your locality.

Alaska (AK) $101.46 San Jose-Sunnyvale-Santa Clara (CA) $96.83 San Jose-Sunnyvale-Santa Clara (CA) $96.46 San Francisco-Oakland-Berkeley (CA) $94.93 San Francisco-Oakland-Berkeley (CA) $94.84 Napa (CA) $90.66 Vallejo (CA) $90.53 NYC Suburbs/Long Island (NY) $90.08 National average $78.83 … 97 more localities between … Rest Of Missouri (MO) $74.24 Mississippi (MS) $73.58 Alabama (AL) $73.57 Arkansas (AR) $72.91

Non-facility payment for 99308 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
99306 · initial nursing facility visit, level 3
99307 · subsequent nursing facility visit, level 1
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 99308 in 2026?

The national non-facility payment is $78.83 and the facility payment is $67.80, 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 99308?

The 2026 work RVU for 99308 is 1.30. Total RVUs are 2.36 in the non-facility setting and 2.03 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.