# CPT 99308: Subsequent nursing facility care, low medical decision making

Medicare CPT 99308 pays $78.83 in a non-facility setting and $67.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $72.91 in Arkansas to $101.46 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99308-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $78.83 |
| National facility | $67.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $101.46 | $89.73 |
| District of Columbia | $87.30 | $74.31 |
| New York | $85.63 | $73.33 |
| New Jersey | $85.41 | $73.00 |
| California | $85.16 | $72.12 |
| Washington | $84.22 | $71.65 |
| Massachusetts | $83.69 | $71.31 |
| Connecticut | $82.78 | $70.91 |
| Hawaii | $82.19 | $69.65 |
| Florida | $81.46 | $70.41 |
| Maryland | $80.99 | $69.50 |
| Colorado | $80.86 | $69.13 |
| Rhode Island | $80.44 | $69.06 |
| Illinois | $80.31 | $69.66 |
| Oregon | $80.19 | $68.57 |
| New Hampshire | $79.83 | $68.36 |
| Puerto Rico | $79.15 | $68.00 |
| Virgin Islands | $79.15 | $68.00 |
| Montana | $78.82 | $67.80 |
| Pennsylvania | $78.74 | $67.94 |
| Nevada | $78.41 | $67.38 |
| Delaware | $78.38 | $67.49 |
| Texas | $78.37 | $67.52 |
| Wyoming | $78.13 | $67.11 |
| Georgia | $77.91 | $67.40 |
| Michigan | $77.91 | $67.57 |
| Minnesota | $77.89 | $66.55 |
| Virginia | $77.48 | $66.65 |
| Arizona | $77.43 | $66.75 |
| North Dakota | $77.24 | $66.22 |
| Vermont | $77.18 | $66.27 |
| South Dakota | $77.05 | $66.03 |
| New Mexico | $76.65 | $66.54 |
| Utah | $76.59 | $66.23 |
| Maine | $76.38 | $65.84 |
| Louisiana | $76.11 | $66.04 |
| Missouri | $76.09 | $65.98 |
| Ohio | $76.00 | $65.94 |
| South Carolina | $75.94 | $65.75 |
| West Virginia | $75.69 | $66.11 |
| North Carolina | $75.67 | $65.38 |
| Wisconsin | $75.60 | $65.04 |
| Indiana | $75.06 | $64.85 |
| Kentucky | $74.97 | $65.17 |
| Idaho | $74.80 | $64.66 |
| Oklahoma | $74.73 | $64.88 |
| Nebraska | $74.64 | $64.47 |
| Tennessee | $74.61 | $64.59 |
| Iowa | $74.43 | $64.35 |
| Kansas | $74.36 | $64.39 |
| Mississippi | $73.58 | $64.09 |
| Alabama | $73.57 | $63.93 |
| Arkansas | $72.91 | $63.45 |

## Related codes

- 99304: Initial nursing facility care, straightforward to low medical decision making — https://www.med-reveal.com/rates/99304-cpt-fee-schedule
- 99305: Initial nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99305-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
- 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 99308 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