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99308 Sbsq nf care low mdm 20

Evaluation & Management

Also known as: nursing home visit low, SNF low complexity, facility follow-up, nursing facility subsequent level 2

Nursing facility care, subsequent visit for the evaluation and management of a resident, with low medical decision-making complexity.

In Plain Language

Nursing home routine visit; Standard facility check-up

Clinical Context

Used for subsequent nursing facility visits with low medical decision-making complexity, such as management of single stable chronic condition or routine monitoring with minimal acute changes.

RVU Breakdown

Work RVU1.30
Total RVU1.30

Est. Medicare Payment

$43.42

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 1.30, this code ranks in the 38th percentile among Evaluation & Management codes — 1.2x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

Family MedicineInternal MedicineGeriatrics

Frequently Asked Questions

What is CPT code 99308?

CPT 99308 (Sbsq nf care low mdm 20) is a Evaluation & Management code. Nursing facility care, subsequent visit for the evaluation and management of a resident, with low medical decision-making complexity.

Who uses CPT code 99308?

CPT 99308 is used by Family Medicine, Internal Medicine, Geriatrics. Used for subsequent nursing facility visits with low medical decision-making complexity, such as management of single stable chronic condition or routine monitoring with minimal acute changes.

When is CPT 99308 used?

Used for subsequent nursing facility visits with low medical decision-making complexity, such as management of single stable chronic condition or routine monitoring with minimal acute changes.

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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.