99306 first nf care high mdm 50
Also known as: nursing home complex admission, SNF high complexity, complex facility admission, nursing facility initial level 3
Nursing facility care, initial evaluation and management of a resident on admission to the facility, with high medical decision-making complexity.
In Plain Language
Complex nursing home admission; Complicated facility admission
Clinical Context
Used for initial nursing facility admission requiring high medical decision-making complexity, such as recently hospitalized patients with acute conditions or multiple acute and chronic problem interactions.
RVU Breakdown
| Work RVU | 3.50 |
| Total RVU | 3.50 |
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 3.50, this code ranks in the 88th percentile among Evaluation & Management codes — 2.3x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99306?
CPT 99306 (first nf care high mdm 50) is a Evaluation & Management code. Nursing facility care, initial evaluation and management of a resident on admission to the facility, with high medical decision-making complexity.
Who uses CPT code 99306?
CPT 99306 is used by Family Medicine, Internal Medicine, Geriatrics. Used for initial nursing facility admission requiring high medical decision-making complexity, such as recently hospitalized patients with acute conditions or multiple acute and chronic problem interactions.
When is CPT 99306 used?
Used for initial nursing facility admission requiring high medical decision-making complexity, such as recently hospitalized patients with acute conditions or multiple acute and chronic problem interactions.
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.