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CPT code 99308: Nursing facility visit, subsequent visit, low MDM2026 Medicare rate & RVUs in Kansas

Report a subsequent skilled nursing or nursing facility visit when the practitioner documents low medical decision making or at least 20 minutes of qualifying time.

CMS RVU26DEffective Oct 1, 2026One payment locality11.8M Medicare services in 2024

In Kansas, Medicare pays $74.36 for 99308 in the office and $64.39 when it’s performed in a hospital or facility.

$74.36Office (non-facility)
$64.39Hospital or facility
−5.7%vs the national office rate ($78.83)

Check a contract rate as a % of Medicare · 99308 nationwide

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

We’ll open 99308 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 99308 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99308 covers

Physicians, nurse practitioners, and physician assistants report 99308 for a subsequent evaluation of a resident in a skilled nursing facility or nursing facility. The encounter may address ongoing conditions, a new uncomplicated illness, or a change in care needs. Managing two stable chronic illnesses can support the problem element of low medical decision making (MDM), but the overall MDM level depends on at least two of its three elements. Work may include reviewing nursing observations, examining the resident, discussing care with facility staff, and updating treatment orders.

Select 99308 when the documented MDM is low or the reporting practitioner spends at least 20 minutes on qualifying work on the encounter date. Count the practitioner's face-to-face and non-face-to-face E/M work, including chart review, staff discussions, orders, and documentation; exclude facility staff time and time spent on separately reported services. Document the problems and management decisions supporting MDM or the total time supporting time-based selection. Medicare uses the facility rate for place of service (POS) 31, skilled nursing facility, and the nonfacility rate for POS 32, nursing facility.

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.

How Kansas compares for 99308

Across 109 of 109 payment localities, the office rate for 99308 runs from $72.91 in Arkansas to $101.46 in Alaska. Kansas pays $74.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

99308 in Kansas vs other payment areas
  1. Kansas · this page$74.36
  2. Los Angeles, CA · California$85.70+$11.34
  3. Washington, DC area · District of Columbia$87.30+$12.94
  4. Miami, FL · Florida$84.25+$9.89
  5. Chicago, IL · Illinois$82.75+$8.39
  6. Manhattan, NY · New York$88.47+$14.11
  7. Alaska · Alaska$101.46+$27.10

Other areas in Kansas first, then benchmark localities. Bars start at $0.

Every other payment area

99308 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$73.57$63.93
ArkansasArkansas$72.91$63.45
ArizonaArizona$77.43$66.75
Bakersfield, CACalifornia$81.75$69.67
Chico, CACalifornia$81.47$69.39
El Centro, CACalifornia$81.48$69.40
Fresno, CACalifornia$81.47$69.39
Hanford, CACalifornia$81.47$69.39

99308 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$72.91

$101.46

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99308 office rate range by state
State / territoryOffice rate rangeLocalities
AK$101.461
AL$73.571
AR$72.911
AZ$77.431
CA$81.47–$96.8329
CO$80.861
CT$82.781
DC$87.301
DE$78.381
FL$78.73–$84.253
GA$75.80–$80.022
GU$82.191
HI$82.191
IA$74.431
ID$74.801
IL$77.48–$82.754
IN$75.061
KS$74.361
KY$74.971
LA$74.95–$77.262
MA$80.71–$86.662
MD$79.43–$87.303
ME$75.20–$77.552
MI$76.32–$79.512
MN$77.891
MO$74.24–$77.263
MS$73.581
MT$78.821
NC$75.671
ND$77.241
NE$74.641
NH$79.831
NJ$83.83–$86.982
NM$76.651
NV$78.411
NY$76.40–$90.085
OH$76.001
OK$74.731
OR$77.90–$82.472
PA$76.00–$81.472
PR$79.151
RI$80.441
SC$75.941
SD$77.051
TN$74.611
TX$75.69–$80.518
UT$76.591
VA$77.48–$87.302
VI$79.151
VT$77.181
WA$80.49–$87.942
WI$75.601
WV$75.691
WY$78.131

See 99308 in every payment locality

How the 99308 rate is calculated

Each of 99308’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.

How the rate is built · 99308

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.30

1.30 RVUs× 1.000 GPCI

Practice expense0.98

0.98 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

2.3600

Conversion factor

$33.4009

Medicare rate

$78.83

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,049

Code
99308
Physician work
1.30
Practice expense
0.98
Malpractice
0.08

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 99308 in Kansas
ComponentRVULocality factorAdjusted
Physician work1.30× 1.0001.3000
Practice expense0.98× 0.9040.8859
Malpractice0.08× 0.5040.0403
Total RVUs2.2262
Conversion factor× 33.4009

Office rate, Kansas$74.36

Office: (1.3 × 1 + 0.98 × 0.904 + 0.08 × 0.504) × $33.4009 = $74.36

Facility: (1.3 × 1 + 0.65 × 0.904 + 0.08 × 0.504) × $33.4009 = $64.39

Open 99308 in the RVU calculator

Payment rules and modifiers for 99308

99308 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.

Place of service · 99308

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$78.83

Non-facility (office)
$78.83
Facility
$67.80

Higher because the practice carries its own overhead.

Codes related to 99308

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 99308
CodeHow it relatesOffice range, Kansas
Same family
99307Nursing facility visit, subsequent visit, straightforward MDMLower subsequent nursing facility level: straightforward MDM or at least 10 minutes.$39.62
99309Nursing facility visit, subsequent, moderate MDM or 30 minutesNext higher subsequent level: moderate MDM or at least 30 minutes.$107.85
99310Nursing facility visit, subsequent visit, high MDMHighest subsequent level: high MDM or at least 45 minutes.$153.82
Used instead
99304Nursing facility care, initial, straightforward or low complexityInitial nursing facility evaluation with straightforward or low MDM or at least 25 minutes.$76.98
99348Home visit, established patient, low MDM or 30 minutesEstablished home or residence visit at low MDM or at least 30 minutes.$75.13

How 99308 has changed in Kansas

99308 · Office / nonfacility

$74.36

Effective 2026-10-01

The base rate is $6.30 higher than on 2025-10-01, moving from $68.06 to $74.36 (9.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $68.06changed to$74.36

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.84 changed to 0.98
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $69.92changed to$68.06

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.83 changed to 0.84
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $68.78changed to$69.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $70.33changed to$68.78

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.80 changed to 0.83
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $64.82changed to$70.33

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 1.16 changed to 1.30
    • Practice expense RVU 0.74 changed to 0.80
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $65.04changed to$64.82

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.73 changed to 0.74

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $66.73changed to$65.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.71 changed to 0.73
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $66.56changed to$66.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.70 changed to 0.71
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $67.14changed to$66.56

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.72 changed to 0.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $66.58changed to$67.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.71 changed to 0.72
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $66.38changed to$66.58

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $66.15changed to$66.38

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $65.82changed to$66.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $66.13changed to$65.82

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.70 changed to 0.71
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $64.86changed to$66.13

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.76 changed to 0.70
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $64.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$74.36$64.39RVU26D
2026-07-01$74.36$64.39RVU26C
2026-04-01$74.36$64.39RVU26B
2026-01-01$74.36$64.39RVU26A
2025-10-01$68.06$68.06RVU25D
2025-07-01$68.06$68.06RVU25C
2025-04-01$68.06$68.06RVU25B
2025-01-01$68.06$68.06RVU25A
2024-10-01$69.92$69.92RVU24D
2024-07-01$69.92$69.92RVU24C
2024-04-01$69.92$69.92RVU24B
2024-03-09$69.92$69.92RVU24AR
2024-01-01$68.78$68.78RVU24A
2023-10-01$70.33$70.33RVU23D
2023-07-01$70.33$70.33RVU23C
2023-04-01$70.33$70.33RVU23B
2023-01-01$70.33$70.33RVU23A
2022-10-01$64.82$64.82RVU22D
2022-07-01$64.82$64.82RVU22C
2022-04-01$64.82$64.82RVU22B
2022-01-01$64.82$64.82RVU22A
2021-10-01$65.04$65.04RVU21D
2021-07-01$65.04$65.04RVU21C
2021-04-01$65.04$65.04RVU21B
2021-01-01$65.04$65.04RVU21A
2020-10-01$66.73$66.73RVU20D
2020-07-01$66.73$66.73RVU20C
2020-04-01$66.73$66.73RVU20B
2020-01-01$66.73$66.73RVU20A
2019-10-01$66.56$66.56RVU19D
2019-07-01$66.56$66.56RVU19C
2019-04-01$66.56$66.56RVU19B
2019-01-01$66.56$66.56RVU19A
2018-10-01$67.14$67.14RVU18D
2018-07-01$67.14$67.14RVU18C
2018-04-01$67.14$67.14RVU18B
2018-01-01$67.14$67.14RVU18AR1
2017-10-01$66.58$66.58RVU17D
2017-07-01$66.58$66.58RVU17C
2017-04-01$66.58$66.58RVU17B
2017-01-01$66.58$66.58RVU17A
2016-10-01$66.38$66.38RVU16D
2016-07-01$66.38$66.38RVU16C
2016-04-01$66.38$66.38RVU16B
2016-01-01$66.38$66.38RVU16A
2015-10-01$66.15$66.15RVU15D
2015-07-01$66.15$66.15RVU15C
2015-04-01$65.82$65.82RVU15B
2015-01-01$65.82$65.82RVU15A
2014-10-01$66.13$66.13RVU14D
2014-07-01$66.13$66.13RVU14C
2014-04-01$66.13$66.13RVU14B
2014-01-01$66.13$66.13RVU14A
2013-10-01$64.86$64.86RVU13D
2013-07-01$64.86$64.86RVU13C
2013-04-01$64.86$64.86RVU13B
2013-01-01$64.86$64.86RVU13AR

Price 99308 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

99308 billing questions

How do I choose between this code and 99309?

Use 99308 for low MDM or at least 20 minutes of qualifying time. Use 99309 for moderate MDM or at least 30 minutes; prescription drug management alone does not establish moderate MDM.

Can a nurse practitioner bill this visit?

Yes. Nurse practitioners and physician assistants may report subsequent nursing facility visits under their own NPI, subject to Medicare and state scope-of-practice requirements.

What time counts toward the 20 minutes?

Count the reporting practitioner's qualifying work on the encounter date, such as reviewing records, examining the resident, speaking with nursing staff or family, entering orders, and documenting. Exclude facility staff time and time spent on separately reported services.

Which place of service do I use?

Use POS 31 for a skilled nursing facility and POS 32 for a nursing facility. Medicare uses the facility rate for POS 31 and the nonfacility rate for POS 32.

Can I bill this on the day the resident is discharged from the facility?

When the practitioner performs discharge-day management, report 99315 or 99316 for that work rather than 99308. Select the discharge code based on the time spent on discharge management.

Can prolonged service time be added to this level?

No. Medicare's prolonged nursing facility E/M service for subsequent care pairs with 99310 when its time requirements are met, rather than with 99308.

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

Show the CMS file lines behind this rate
RVUs for 99308PPRRVU2026_Oct_nonQPP.csv, line 13,049 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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