99309 Sbsq nf care moderate mdm 30
Also known as: nursing home moderate, SNF moderate complexity, facility moderate visit, nursing facility subsequent level 3
Nursing facility care, subsequent visit for the evaluation and management of a resident, with moderate medical decision-making complexity.
In Plain Language
Nursing home visit with changes; Facility visit with adjustments
Clinical Context
Used for subsequent nursing facility visits with moderate medical decision-making complexity, such as adjustment of treatment plans for existing conditions or new acute issues in residents.
RVU Breakdown
| Work RVU | 1.92 |
| Total RVU | 1.92 |
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 1.92, this code ranks in the 65th percentile among Evaluation & Management codes — 1.2x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99309?
CPT 99309 (Sbsq nf care moderate mdm 30) is a Evaluation & Management code. Nursing facility care, subsequent visit for the evaluation and management of a resident, with moderate medical decision-making complexity.
Who uses CPT code 99309?
CPT 99309 is used by Family Medicine, Internal Medicine, Geriatrics. Used for subsequent nursing facility visits with moderate medical decision-making complexity, such as adjustment of treatment plans for existing conditions or new acute issues in residents.
When is CPT 99309 used?
Used for subsequent nursing facility visits with moderate medical decision-making complexity, such as adjustment of treatment plans for existing conditions or new acute issues in residents.
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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.