# CPT 99309: Subsequent nursing facility care, moderate medical decision making

Medicare CPT 99309 pays $114.57 in a non-facility setting and $98.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $105.85 in Arkansas to $147.50 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99309-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $114.57 |
| National facility | $98.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $147.50 | $130.43 |
| District of Columbia | $126.70 | $107.82 |
| New York | $124.58 | $106.69 |
| New Jersey | $124.02 | $105.97 |
| California | $123.11 | $104.14 |
| Washington | $122.01 | $103.73 |
| Massachusetts | $121.32 | $103.30 |
| Connecticut | $120.35 | $103.09 |
| Florida | $119.14 | $103.06 |
| Hawaii | $118.87 | $100.64 |
| Maryland | $117.71 | $101.00 |
| Illinois | $117.51 | $102.02 |
| Colorado | $117.24 | $100.18 |
| Rhode Island | $116.79 | $100.23 |
| Oregon | $116.23 | $99.34 |
| New Hampshire | $115.86 | $99.17 |
| Puerto Rico | $115.00 | $98.79 |
| Virgin Islands | $115.00 | $98.79 |
| Montana | $114.56 | $98.52 |
| Pennsylvania | $114.53 | $98.83 |
| Texas | $113.88 | $98.09 |
| Delaware | $113.86 | $98.02 |
| Nevada | $113.83 | $97.78 |
| Michigan | $113.68 | $98.63 |
| Georgia | $113.48 | $98.18 |
| Wyoming | $113.35 | $97.32 |
| Minnesota | $112.60 | $96.10 |
| Arizona | $112.47 | $96.94 |
| Virginia | $112.41 | $96.65 |
| Vermont | $111.80 | $95.93 |
| North Dakota | $111.79 | $95.76 |
| New Mexico | $111.71 | $97.01 |
| South Dakota | $111.46 | $95.43 |
| Utah | $111.34 | $96.27 |
| Louisiana | $110.81 | $96.17 |
| Maine | $110.79 | $95.47 |
| Missouri | $110.73 | $96.01 |
| Ohio | $110.62 | $95.98 |
| West Virginia | $110.59 | $96.65 |
| South Carolina | $110.39 | $95.57 |
| North Carolina | $109.81 | $94.85 |
| Wisconsin | $109.41 | $94.05 |
| Kentucky | $109.09 | $94.84 |
| Indiana | $108.82 | $93.96 |
| Oklahoma | $108.63 | $94.31 |
| Idaho | $108.44 | $93.69 |
| Tennessee | $108.24 | $93.66 |
| Nebraska | $108.13 | $93.34 |
| Iowa | $107.86 | $93.19 |
| Kansas | $107.85 | $93.36 |
| Mississippi | $106.98 | $93.18 |
| Alabama | $106.82 | $92.79 |
| Arkansas | $105.85 | $92.07 |

## 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
- 99308: Subsequent nursing facility care, low medical decision making — https://www.med-reveal.com/rates/99308-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 99309 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