99378 Hospice care supervision
Also known as: hospice supervision frequent, hospice oversight bimonthly, complex end-of-life supervision
Supervision of a patient receiving hospice care; physician oversight of care provided by hospice staff; approximately two supervisory visits per month.
In Plain Language
Regular hospice supervision; Frequent end-of-life care oversight
Clinical Context
Used when a physician provides medical oversight and supervision of a patient receiving hospice services with approximately two visits per month for complex symptom management or care coordination.
RVU Breakdown
| Work RVU | 1.73 |
| Total RVU | 1.73 |
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 1.73, this code ranks in the 58th percentile among Evaluation & Management codes — 1.1x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99378?
CPT 99378 (Hospice care supervision) is a Evaluation & Management code. Supervision of a patient receiving hospice care; physician oversight of care provided by hospice staff; approximately two supervisory visits per month.
Who uses CPT code 99378?
CPT 99378 is used by Family Medicine, Internal Medicine, Palliative Care. Used when a physician provides medical oversight and supervision of a patient receiving hospice services with approximately two visits per month for complex symptom management or care coordination.
When is CPT 99378 used?
Used when a physician provides medical oversight and supervision of a patient receiving hospice services with approximately two visits per month for complex symptom management or care coordination.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.