# CPT 99316: Nursing facility discharge day management, more than 30 minutes

Medicare CPT 99316 pays $138.28 in a non-facility setting and $117.57 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $128.60 in Arkansas to $180.67 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/99316-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $138.28 |
| National facility | $117.57 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $180.67 | $158.62 |
| District of Columbia | $152.17 | $127.78 |
| New York | $149.96 | $126.85 |
| New Jersey | $149.24 | $125.92 |
| California | $147.67 | $123.17 |
| Washington | $146.59 | $122.98 |
| Massachusetts | $145.83 | $122.57 |
| Connecticut | $144.92 | $122.62 |
| Florida | $143.82 | $123.04 |
| Hawaii | $142.62 | $119.07 |
| Illinois | $142.08 | $122.08 |
| Maryland | $141.90 | $120.31 |
| Colorado | $141.18 | $119.15 |
| Rhode Island | $140.87 | $119.48 |
| Oregon | $140.01 | $118.19 |
| New Hampshire | $139.58 | $118.03 |
| Puerto Rico | $138.73 | $117.80 |
| Virgin Islands | $138.73 | $117.80 |
| Pennsylvania | $138.42 | $118.13 |
| Montana | $138.27 | $117.56 |
| Michigan | $137.60 | $118.15 |
| Texas | $137.57 | $117.19 |
| Delaware | $137.53 | $117.07 |
| Nevada | $137.38 | $116.65 |
| Georgia | $137.26 | $117.51 |
| Wyoming | $136.80 | $116.09 |
| Arizona | $135.94 | $115.87 |
| Virginia | $135.78 | $115.42 |
| Minnesota | $135.71 | $114.40 |
| New Mexico | $135.35 | $116.36 |
| Vermont | $134.98 | $114.48 |
| North Dakota | $134.91 | $114.20 |
| Utah | $134.75 | $115.29 |
| South Dakota | $134.51 | $113.80 |
| West Virginia | $134.29 | $116.30 |
| Louisiana | $134.27 | $115.37 |
| Missouri | $134.15 | $115.15 |
| Ohio | $134.05 | $115.15 |
| Maine | $133.98 | $114.19 |
| South Carolina | $133.70 | $114.56 |
| North Carolina | $132.94 | $113.62 |
| Kentucky | $132.35 | $113.94 |
| Wisconsin | $132.29 | $112.45 |
| Indiana | $131.78 | $112.58 |
| Oklahoma | $131.76 | $113.27 |
| Idaho | $131.36 | $112.31 |
| Tennessee | $131.18 | $112.36 |
| Nebraska | $130.97 | $111.85 |
| Kansas | $130.75 | $112.03 |
| Iowa | $130.68 | $111.73 |
| Mississippi | $129.97 | $112.14 |
| Alabama | $129.68 | $111.56 |
| Arkansas | $128.60 | $110.81 |

## 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
- 99315: Nursing facility discharge day management, 30 minutes or less — https://www.med-reveal.com/rates/99315-cpt-fee-schedule

Commercial negotiated rates for 99316 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