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.
In Plain Language
Complex initial home visit; Intensive new house call
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 |
| Total RVU | 3.60 |
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 3.60, this code ranks in the 89th percentile among Evaluation & Management codes — 2.3x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99350?
CPT 99350 (Home/res vst established high mdm 60) is a Evaluation & Management code. 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.
Who uses CPT code 99350?
CPT 99350 is used by Family Medicine, Internal Medicine, Home Health. 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.
When is CPT 99350 used?
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.
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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.