Nursing facility & home visits

99347 - RVUs & Medicare payment (2026)

Home or residence visit, established patient, level 1.

Component	Non-facility	Facility
Work RVU	0.90	0.90
Practice expense RVU	0.44	0.44
Malpractice RVU	0.04	0.04
Total RVUs	1.38	1.38
National payment (CF $33.4009)	$46.09	$46.09
Qualifying APM payment (CF $33.5675)	$46.32	$46.32

How 99347 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 99347 ranges from $43.37 in Arkansas (AR) to $61.48 in Alaska (AK); calculate 99347 for your locality.

Alaska (AK) $61.48 San Jose-Sunnyvale-Santa Clara (CA) $55.28 San Jose-Sunnyvale-Santa Clara (CA) $55.09 San Francisco-Oakland-Berkeley (CA) $54.25 San Francisco-Oakland-Berkeley (CA) $54.21 Napa (CA) $52.00 NYC Suburbs/Long Island (NY) $51.94 Vallejo (CA) $51.94 National average $46.09 … 97 more localities between … Kansas (KS) $44.02 Mississippi (MS) $43.70 Alabama (AL) $43.68 Arkansas (AR) $43.37

Non-facility payment for 99347 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
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
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 99347 in 2026?

The national non-facility payment is $46.09 and the facility payment is $46.09, 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 99347?

The 2026 work RVU for 99347 is 0.90. Total RVUs are 1.38 in the non-facility setting and 1.38 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.