Nursing facility & home visits

99309 - RVUs & Medicare payment (2026)

Subsequent nursing facility visit, level 3.

Component	Non-facility	Facility
Work RVU	1.92	1.92
Practice expense RVU	1.37	0.89
Malpractice RVU	0.14	0.14
Total RVUs	3.43	2.95
National payment (CF $33.4009)	$114.57	$98.53
Qualifying APM payment (CF $33.5675)	$115.14	$99.02

How 99309 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 99309 ranges from $105.85 in Arkansas (AR) to $147.50 in Alaska (AK); calculate 99309 for your locality.

Alaska (AK) $147.50 San Jose-Sunnyvale-Santa Clara (CA) $139.68 San Jose-Sunnyvale-Santa Clara (CA) $139.03 San Francisco-Oakland-Berkeley (CA) $136.89 San Francisco-Oakland-Berkeley (CA) $136.73 NYC Suburbs/Long Island (NY) $131.33 Napa (CA) $130.86 Vallejo (CA) $130.63 National average $114.57 … 97 more localities between … Kansas (KS) $107.85 Mississippi (MS) $106.98 Alabama (AL) $106.82 Arkansas (AR) $105.85

Non-facility payment for 99309 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
99308 · subsequent nursing facility visit, level 2
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 99309 in 2026?

The national non-facility payment is $114.57 and the facility payment is $98.53, 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 99309?

The 2026 work RVU for 99309 is 1.92. Total RVUs are 3.43 in the non-facility setting and 2.95 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.