Nursing facility & home visits
99316 - RVUs & Medicare payment (2026)
Nursing facility discharge management, more than 30 minutes.
| Component | Non-facility | Facility |
|---|---|---|
| Work RVU | 2.50 | 2.50 |
| Practice expense RVU | 1.47 | 0.85 |
| Malpractice RVU | 0.17 | 0.17 |
| Total RVUs | 4.14 | 3.52 |
| National payment (CF $33.4009) | $138.28 | $117.57 |
| Qualifying APM payment (CF $33.5675) | $138.97 | $118.16 |
How 99316 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 99316 ranges from $128.60 in Arkansas (AR) to $180.67 in Alaska (AK); calculate 99316 for your locality.
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
- 99309 · subsequent nursing facility visit, level 3
- 99310 · subsequent nursing facility visit, level 4
- 99315 · nursing facility discharge management, 30 minutes or less
- 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 99316 in 2026?
What is the work RVU for 99316?
Why are the facility and non-facility amounts different?
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.