99342 Home/res vst new low mdm 30
Also known as: home visit low, house call low complexity, home care low
Home or residence visit for the evaluation and management of an established patient, with low medical decision-making complexity and an expected duration of 30 minutes.
In Plain Language
House call with evaluation; Home medical visit
Clinical Context
Used for home-based evaluation and management of established patients with low medical decision-making complexity, such as evaluation of single acute problem or routine management of one or two chronic conditions.
RVU Breakdown
| Work RVU | 1.65 |
| Total RVU | 1.65 |
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 1.65, this code ranks in the 54th percentile among Evaluation & Management codes — 1.1x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99342?
CPT 99342 (Home/res vst new low mdm 30) is a Evaluation & Management code. Home or residence visit for the evaluation and management of an established patient, with low medical decision-making complexity and an expected duration of 30 minutes.
Who uses CPT code 99342?
CPT 99342 is used by Family Medicine, Internal Medicine, Home Health. Used for home-based evaluation and management of established patients with low medical decision-making complexity, such as evaluation of single acute problem or routine management of one or two chronic conditions.
When is CPT 99342 used?
Used for home-based evaluation and management of established patients with low medical decision-making complexity, such as evaluation of single acute problem or routine management of one or two chronic conditions.
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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.