# CPT 99315: Nursing facility discharge day management, 30 minutes or less

Medicare CPT 99315 pays $85.84 in a non-facility setting and $73.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $79.77 in Arkansas to $111.67 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/99315-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $85.84 |
| National facility | $73.15 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $111.67 | $98.15 |
| District of Columbia | $94.71 | $79.76 |
| New York | $93.08 | $78.92 |
| New Jersey | $92.80 | $78.51 |
| California | $92.26 | $77.24 |
| Washington | $91.37 | $76.90 |
| Massachusetts | $90.84 | $76.58 |
| Connecticut | $89.99 | $76.32 |
| Hawaii | $89.06 | $74.63 |
| Florida | $88.79 | $76.06 |
| Maryland | $88.12 | $74.88 |
| Colorado | $87.88 | $74.37 |
| Illinois | $87.65 | $75.38 |
| Rhode Island | $87.55 | $74.44 |
| Oregon | $87.17 | $73.79 |
| New Hampshire | $86.81 | $73.59 |
| Puerto Rico | $86.16 | $73.32 |
| Virgin Islands | $86.16 | $73.32 |
| Montana | $85.83 | $73.14 |
| Pennsylvania | $85.82 | $73.40 |
| Texas | $85.40 | $72.90 |
| Delaware | $85.39 | $72.85 |
| Nevada | $85.37 | $72.67 |
| Michigan | $85.07 | $73.15 |
| Wyoming | $85.06 | $72.37 |
| Georgia | $85.00 | $72.89 |
| Minnesota | $84.67 | $71.61 |
| Virginia | $84.40 | $71.92 |
| Arizona | $84.39 | $72.09 |
| North Dakota | $84.05 | $71.36 |
| Vermont | $84.03 | $71.46 |
| South Dakota | $83.84 | $71.15 |
| New Mexico | $83.73 | $72.09 |
| Utah | $83.57 | $71.64 |
| Maine | $83.27 | $71.13 |
| Louisiana | $83.14 | $71.55 |
| Missouri | $83.10 | $71.45 |
| Ohio | $83.02 | $71.43 |
| South Carolina | $82.90 | $71.17 |
| West Virginia | $82.85 | $71.82 |
| North Carolina | $82.56 | $70.72 |
| Wisconsin | $82.39 | $70.23 |
| Kentucky | $81.95 | $70.67 |
| Indiana | $81.91 | $70.14 |
| Oklahoma | $81.67 | $70.33 |
| Idaho | $81.64 | $69.96 |
| Tennessee | $81.47 | $69.93 |
| Nebraska | $81.45 | $69.74 |
| Iowa | $81.25 | $69.63 |
| Kansas | $81.21 | $69.73 |
| Mississippi | $80.51 | $69.58 |
| Alabama | $80.44 | $69.34 |
| Arkansas | $79.77 | $68.86 |

## 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
- 99310: Subsequent nursing facility care, high medical decision making — https://www.med-reveal.com/rates/99310-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 99315 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