99310 Sbsq nf care high mdm 45
Also known as: nursing home complex, SNF high complexity, complex facility visit
Nursing facility care, subsequent visit for the evaluation and management of a resident, with high medical decision-making complexity.
Clinical Context
Used for subsequent nursing facility visits with high medical decision-making complexity, such as management of multiple acute conditions or significant clinical deterioration requiring intensive evaluation.
RVU Breakdown
| Work RVU | 2.80 |
| Practice Expense RVU | 1.88 |
| Malpractice RVU | 0.21 |
| Total RVU | 4.89 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.