99350 Home/res vst established high mdm 60
Also known as: home visit new complex, house call new high complexity, complex new home
Home or residence visit for the evaluation and management of a new patient, with high medical decision-making complexity and an expected duration of 60 minutes.
Clinical Context
Used for initial home-based evaluation and management of new patients with high medical decision-making complexity, such as comprehensive assessment of complex clinical presentations or multiple acute and chronic problems.
RVU Breakdown
| Work RVU | 3.60 |
| Practice Expense RVU | 1.94 |
| Malpractice RVU | 0.24 |
| Total RVU | 5.78 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.