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99316 Nf dschrg management 30 min+

Evaluation & Management

Also known as: nursing home discharge complex, SNF discharge extended, complex facility discharge

Nursing facility care, discharge day management; per day for the evaluation and management activities on discharge from the facility of a resident with more than 30 minutes of physician or qualified health professional time spent on final discharge visit.

In Plain Language

Extended nursing home discharge; Complex facility discharge planning

Clinical Context

Used for nursing facility discharge day management when the physician or qualified health professional spends more than 30 minutes on discharge-related evaluation and planning activities.

RVU Breakdown

Work RVU2.50
Total RVU2.50

Est. Medicare Payment

$83.50

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

Family MedicineInternal MedicineGeriatrics

Frequently Asked Questions

What is CPT code 99316?

CPT 99316 (Nf dschrg management 30 min+) is a Evaluation & Management code. Nursing facility care, discharge day management; per day for the evaluation and management activities on discharge from the facility of a resident with more than 30 minutes of physician or qualified health professional time spent on final discharge visit.

Who uses CPT code 99316?

CPT 99316 is used by Family Medicine, Internal Medicine, Geriatrics. Used for nursing facility discharge day management when the physician or qualified health professional spends more than 30 minutes on discharge-related evaluation and planning activities.

When is CPT 99316 used?

Used for nursing facility discharge day management when the physician or qualified health professional spends more than 30 minutes on discharge-related evaluation and planning activities.

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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.