99305 first nf care moderate mdm 35
Also known as: nursing home moderate admission, SNF initial moderate, facility admission, nursing facility initial level 2
Nursing facility care, initial evaluation and management of a resident on admission to the facility, with moderate medical decision-making complexity.
In Plain Language
Nursing home admission with conditions; Complex facility admission
Clinical Context
Used for initial nursing facility admission evaluation requiring moderate medical decision-making, such as patients with multiple chronic conditions or recent hospitalizations requiring facility-level care.
RVU Breakdown
| Work RVU | 2.50 |
| Total RVU | 2.50 |
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 2.50, this code ranks in the 77th percentile among Evaluation & Management codes — 1.6x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99305?
CPT 99305 (first nf care moderate mdm 35) is a Evaluation & Management code. Nursing facility care, initial evaluation and management of a resident on admission to the facility, with moderate medical decision-making complexity.
Who uses CPT code 99305?
CPT 99305 is used by Family Medicine, Internal Medicine, Geriatrics. Used for initial nursing facility admission evaluation requiring moderate medical decision-making, such as patients with multiple chronic conditions or recent hospitalizations requiring facility-level care.
When is CPT 99305 used?
Used for initial nursing facility admission evaluation requiring moderate medical decision-making, such as patients with multiple chronic conditions or recent hospitalizations requiring facility-level care.
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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.