# CPT 99310: Subsequent nursing facility care, high medical decision making

Medicare CPT 99310 pays $163.33 in a non-facility setting and $140.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $151.07 in Arkansas to $211.02 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/99310-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $163.33 |
| National facility | $140.28 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $211.02 | $186.48 |
| District of Columbia | $180.35 | $153.20 |
| New York | $177.55 | $151.83 |
| New Jersey | $176.64 | $150.69 |
| California | $174.98 | $147.71 |
| Washington | $173.59 | $147.32 |
| Massachusetts | $172.66 | $146.76 |
| Connecticut | $171.51 | $146.69 |
| Florida | $170.18 | $147.06 |
| Hawaii | $168.98 | $142.78 |
| Illinois | $167.93 | $145.66 |
| Maryland | $167.76 | $143.73 |
| Colorado | $166.94 | $142.41 |
| Rhode Island | $166.42 | $142.61 |
| Oregon | $165.50 | $141.22 |
| New Hampshire | $165.03 | $141.04 |
| Puerto Rico | $163.92 | $140.62 |
| Virgin Islands | $163.92 | $140.62 |
| Pennsylvania | $163.37 | $140.79 |
| Montana | $163.32 | $140.27 |
| Texas | $162.37 | $139.68 |
| Michigan | $162.36 | $140.71 |
| Delaware | $162.34 | $139.57 |
| Nevada | $162.22 | $139.15 |
| Georgia | $161.97 | $139.98 |
| Wyoming | $161.51 | $138.46 |
| Arizona | $160.37 | $138.04 |
| Minnesota | $160.21 | $136.50 |
| Virginia | $160.20 | $137.55 |
| New Mexico | $159.53 | $138.39 |
| Vermont | $159.24 | $136.42 |
| North Dakota | $159.16 | $136.12 |
| Utah | $158.85 | $137.18 |
| South Dakota | $158.67 | $135.63 |
| Louisiana | $158.20 | $137.15 |
| West Virginia | $158.13 | $138.10 |
| Missouri | $158.05 | $136.90 |
| Maine | $157.92 | $135.89 |
| Ohio | $157.92 | $136.88 |
| South Carolina | $157.51 | $136.21 |
| North Carolina | $156.59 | $135.09 |
| Wisconsin | $155.84 | $133.76 |
| Kentucky | $155.76 | $135.28 |
| Indiana | $155.14 | $133.78 |
| Oklahoma | $155.05 | $134.47 |
| Idaho | $154.61 | $133.41 |
| Tennessee | $154.37 | $133.42 |
| Nebraska | $154.13 | $132.86 |
| Kansas | $153.82 | $132.99 |
| Iowa | $153.76 | $132.68 |
| Mississippi | $152.77 | $132.93 |
| Alabama | $152.44 | $132.27 |
| Arkansas | $151.07 | $131.28 |

## 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
- 99309: Subsequent nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99309-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 99310 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