99304 first nf care sf/low mdm 25
Also known as: nursing home admission, nursing facility initial, SNF admission, nursing facility initial level 1
Nursing facility care, initial evaluation and management of a resident on admission to the facility, with straightforward or low medical decision-making complexity.
In Plain Language
Nursing home check-in; Admission to care facility
Clinical Context
Used for initial evaluation and management of patients admitted to nursing facilities or skilled nursing facilities, including assessment of functional status and development of initial care plans.
RVU Breakdown
| Work RVU | 1.50 |
| Total RVU | 1.50 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 1.50, this code ranks in the 50th percentile among Evaluation & Management codes — 1.0x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99304?
CPT 99304 (first nf care sf/low mdm 25) is a Evaluation & Management code. Nursing facility care, initial evaluation and management of a resident on admission to the facility, with straightforward or low medical decision-making complexity.
Who uses CPT code 99304?
CPT 99304 is used by Family Medicine, Internal Medicine, Geriatrics. Used for initial evaluation and management of patients admitted to nursing facilities or skilled nursing facilities, including assessment of functional status and development of initial care plans.
When is CPT 99304 used?
Used for initial evaluation and management of patients admitted to nursing facilities or skilled nursing facilities, including assessment of functional status and development of initial care plans.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.