# CPT 99345: Home or residence visit, new patient, high medical decision making

Medicare CPT 99345 pays $210.09 in a non-facility setting and $210.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $195.87 in Arkansas to $275.83 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99345-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $210.09 |
| National facility | $210.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $275.83 | $275.83 |
| District of Columbia | $230.88 | $230.88 |
| New York | $227.58 | $227.58 |
| New Jersey | $226.55 | $226.55 |
| California | $224.14 | $224.14 |
| Washington | $222.51 | $222.51 |
| Massachusetts | $221.39 | $221.39 |
| Connecticut | $219.99 | $219.99 |
| Florida | $218.24 | $218.24 |
| Hawaii | $216.46 | $216.46 |
| Illinois | $215.72 | $215.72 |
| Maryland | $215.49 | $215.49 |
| Colorado | $214.44 | $214.44 |
| Rhode Island | $214.03 | $214.03 |
| Oregon | $212.68 | $212.68 |
| New Hampshire | $212.01 | $212.01 |
| Puerto Rico | $210.76 | $210.76 |
| Virgin Islands | $210.76 | $210.76 |
| Pennsylvania | $210.36 | $210.36 |
| Montana | $210.07 | $210.07 |
| Michigan | $209.09 | $209.09 |
| Texas | $209.09 | $209.09 |
| Delaware | $209.03 | $209.03 |
| Nevada | $208.77 | $208.77 |
| Georgia | $208.61 | $208.61 |
| Wyoming | $207.92 | $207.92 |
| Arizona | $206.65 | $206.65 |
| Virginia | $206.41 | $206.41 |
| Minnesota | $206.31 | $206.31 |
| New Mexico | $205.78 | $205.78 |
| Vermont | $205.25 | $205.25 |
| North Dakota | $205.13 | $205.13 |
| Utah | $204.91 | $204.91 |
| South Dakota | $204.55 | $204.55 |
| West Virginia | $204.24 | $204.24 |
| Louisiana | $204.21 | $204.21 |
| Missouri | $204.02 | $204.02 |
| Ohio | $203.88 | $203.88 |
| Maine | $203.76 | $203.76 |
| South Carolina | $203.36 | $203.36 |
| North Carolina | $202.24 | $202.24 |
| Kentucky | $201.37 | $201.37 |
| Wisconsin | $201.28 | $201.28 |
| Indiana | $200.53 | $200.53 |
| Oklahoma | $200.51 | $200.51 |
| Idaho | $199.92 | $199.92 |
| Tennessee | $199.66 | $199.66 |
| Nebraska | $199.34 | $199.34 |
| Kansas | $199.02 | $199.02 |
| Iowa | $198.92 | $198.92 |
| Mississippi | $197.88 | $197.88 |
| Alabama | $197.45 | $197.45 |
| Arkansas | $195.87 | $195.87 |

## Related codes

- 99341: Home or residence visit, new patient, straightforward medical decision making — https://www.med-reveal.com/rates/99341-cpt-fee-schedule
- 99342: Home or residence visit, new patient, low medical decision making — https://www.med-reveal.com/rates/99342-cpt-fee-schedule
- 99344: Home or residence visit, new patient, moderate medical decision making — https://www.med-reveal.com/rates/99344-cpt-fee-schedule
- 99347: Home or residence visit, established patient, straightforward medical decision making — https://www.med-reveal.com/rates/99347-cpt-fee-schedule
- 99348: Home or residence visit, established patient, low medical decision making — https://www.med-reveal.com/rates/99348-cpt-fee-schedule
- 99349: Home or residence visit, established patient, moderate medical decision making — https://www.med-reveal.com/rates/99349-cpt-fee-schedule
- 99350: Home or residence visit, established patient, high medical decision making — https://www.med-reveal.com/rates/99350-cpt-fee-schedule

Commercial negotiated rates for 99345 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