# CPT 99305: Initial nursing facility care, moderate medical decision making

Medicare CPT 99305 pays $140.95 in a non-facility setting and $119.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $130.78 in Arkansas to $183.35 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/99305-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $140.95 |
| National facility | $119.91 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $183.35 | $160.94 |
| District of Columbia | $155.30 | $130.51 |
| New York | $153.02 | $129.54 |
| New Jersey | $152.23 | $128.54 |
| California | $150.62 | $125.72 |
| Washington | $149.51 | $125.53 |
| Massachusetts | $148.74 | $125.10 |
| Connecticut | $147.85 | $125.18 |
| Florida | $146.81 | $125.70 |
| Hawaii | $145.47 | $121.54 |
| Illinois | $144.99 | $124.65 |
| Maryland | $144.69 | $122.76 |
| Colorado | $143.93 | $121.54 |
| Rhode Island | $143.59 | $121.85 |
| Oregon | $142.71 | $120.54 |
| New Hampshire | $142.31 | $120.40 |
| Puerto Rico | $141.43 | $120.15 |
| Virgin Islands | $141.43 | $120.15 |
| Pennsylvania | $141.06 | $120.46 |
| Montana | $140.94 | $119.90 |
| Michigan | $140.26 | $120.51 |
| Texas | $140.19 | $119.47 |
| Delaware | $140.14 | $119.35 |
| Nevada | $140.00 | $118.94 |
| Georgia | $139.89 | $119.82 |
| Wyoming | $139.39 | $118.35 |
| Arizona | $138.49 | $118.10 |
| Virginia | $138.31 | $117.62 |
| Minnesota | $138.21 | $116.56 |
| New Mexico | $137.89 | $118.59 |
| Vermont | $137.47 | $116.64 |
| North Dakota | $137.38 | $116.34 |
| Utah | $137.25 | $117.47 |
| South Dakota | $136.96 | $115.92 |
| West Virginia | $136.80 | $118.52 |
| Louisiana | $136.76 | $117.55 |
| Missouri | $136.62 | $117.31 |
| Ohio | $136.52 | $117.31 |
| Maine | $136.42 | $116.32 |
| South Carolina | $136.14 | $116.70 |
| North Carolina | $135.34 | $115.70 |
| Kentucky | $134.73 | $116.02 |
| Wisconsin | $134.63 | $114.47 |
| Indiana | $134.11 | $114.60 |
| Oklahoma | $134.11 | $115.32 |
| Idaho | $133.67 | $114.31 |
| Tennessee | $133.49 | $114.36 |
| Nebraska | $133.25 | $113.83 |
| Kansas | $133.03 | $114.01 |
| Iowa | $132.95 | $113.70 |
| Mississippi | $132.23 | $114.12 |
| Alabama | $131.91 | $113.50 |
| Arkansas | $130.78 | $112.71 |

## Related codes

- 99304: Initial nursing facility care, straightforward to low medical decision making — https://www.med-reveal.com/rates/99304-cpt-fee-schedule
- 99306: Initial nursing facility care, high medical decision making — https://www.med-reveal.com/rates/99306-cpt-fee-schedule
- 99307: Subsequent nursing facility care, straightforward medical decision making — https://www.med-reveal.com/rates/99307-cpt-fee-schedule
- 99308: Subsequent nursing facility care, low medical decision making — https://www.med-reveal.com/rates/99308-cpt-fee-schedule
- 99309: Subsequent nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99309-cpt-fee-schedule
- 99310: Subsequent nursing facility care, high medical decision making — https://www.med-reveal.com/rates/99310-cpt-fee-schedule
- 99315: Nursing facility discharge day management, 30 minutes or less — https://www.med-reveal.com/rates/99315-cpt-fee-schedule
- 99316: Nursing facility discharge day management, more than 30 minutes — https://www.med-reveal.com/rates/99316-cpt-fee-schedule

Commercial negotiated rates for 99305 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules