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99345 Home/res vst new high mdm 75

E&M

Also known as: home visit complex, house call high complexity, complex home care

Home or residence visit for the evaluation and management of an established patient, with high medical decision-making complexity and an expected duration of 75 minutes.

Clinical Context

Used for home-based evaluation and management of established patients with high medical decision-making complexity, such as management of multiple acute and chronic conditions or complex clinical situations.

RVU Breakdown

Work RVU3.88
Practice Expense RVU2.16
Malpractice RVU0.25
Total RVU6.29

Est. Medicare Payment

$210.09

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Family MedicineInternal MedicineHome Health

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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.