99349 Home/res vst established mod mdm 40
Also known as: home visit new moderate, house call new moderate, new home moderate
Home or residence visit for the evaluation and management of a new patient, with moderate medical decision-making complexity and an expected duration of 40 minutes.
In Plain Language
Initial home visit with multiple issues; Moderate new house call
Clinical Context
Used for initial home-based evaluation and management of new patients with moderate medical decision-making complexity, such as comprehensive initial assessment with multiple acute or chronic conditions.
RVU Breakdown
| Work RVU | 2.44 |
| Total RVU | 2.44 |
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 2.44, this code ranks in the 75th percentile among Evaluation & Management codes — 1.6x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99349?
CPT 99349 (Home/res vst established mod mdm 40) is a Evaluation & Management code. Home or residence visit for the evaluation and management of a new patient, with moderate medical decision-making complexity and an expected duration of 40 minutes.
Who uses CPT code 99349?
CPT 99349 is used by Family Medicine, Internal Medicine, Home Health. Used for initial home-based evaluation and management of new patients with moderate medical decision-making complexity, such as comprehensive initial assessment with multiple acute or chronic conditions.
When is CPT 99349 used?
Used for initial home-based evaluation and management of new patients with moderate medical decision-making complexity, such as comprehensive initial assessment with multiple acute or 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.