99345 Home/res vst new high mdm 75
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.
In Plain Language
Complex home medical visit; Intensive house call
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 RVU | 3.88 |
| Total RVU | 3.88 |
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 3.88, this code ranks in the 92nd percentile among Evaluation & Management codes — 2.5x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99345?
CPT 99345 (Home/res vst new high mdm 75) is a Evaluation & Management code. 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.
Who uses CPT code 99345?
CPT 99345 is used by Family Medicine, Internal Medicine, Home Health. 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.
When is CPT 99345 used?
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.
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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.