CPT code 1110F: Recent discharge, within 60 days2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 1110F covers

1110F records that a patient left an inpatient facility within the preceding 60 days. It is a CPT Category II performance-measure tracking code for the recent-discharge circumstance, not a code for an outpatient evaluation, medication reconciliation, or transitional care service. A clinician reports it when a performance measure calls for this recent-discharge information; it does not identify what follow-up care the patient received.

Medicare assigns status I, meaning 1110F is not valid for Medicare; Medicare uses a different code to report and pay for the service. CPT Category II codes are supplemental tracking codes for performance measurement and are never paid. Report 1110F as measure information rather than as a payable clinical service. The indicator does not stand in for a separate code describing evaluation or transitional care furnished after discharge.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 1110F pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

1110F rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 1110F rate is calculated

Each of 1110F’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 1110F

1110F has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

1110F compared with similar codes

How to choose

1111FMedication reconciliationQuality measure

Use 1110F to indicate a recent inpatient discharge; use 1111F to indicate discharge medication reconciliation with the current medication list.

99495Transitional care managementModerate complexity, visit within 14 days

99495 reports a transitional care management service when its requirements are met. 1110F records the recent-discharge circumstance for performance measurement.

99496Transitional care managementHigh complexity, visit within 7 days

99496 reports a transitional care management service when its requirements are met. 1110F is a Category II tracking code, not the service code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates