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

In Vermont, Medicare pays $77.18 for 99308 in the office and $66.27 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $77.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99308 rates by state

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

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.

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.

Codes related to 99308

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

How 99308 has changed in Vermont

Price 99308 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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