CPT code 99315: Discharge management, 30 minutes or less2026 Medicare rate & RVUs in Alaska

Reports nursing facility discharge management when a physician or qualified health care professional spends 30 minutes or less on discharge-day services.

CMS RVU26DEffective Oct 1, 2026One payment locality145.9K Medicare services in 2024

In Alaska, Medicare pays $111.67 for 99315 in the office and $98.15 when it’s performed in a hospital or facility.

$111.67Office (non-facility)
$98.15Hospital or facility
+30.1%vs the national office rate ($85.84)

Check a contract rate as a % of Medicare · 99315 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 99315 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 99315 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 99315 covers

This service covers the clinician’s work to complete a patient’s discharge from a nursing facility. It can include a final examination, discussion of the facility stay, instructions for care after discharge, and preparation of discharge records, prescriptions, or referral forms. Physicians and other qualified health care professionals commonly perform this work when a resident leaves for home or moves to another care setting.

Select this code when the total time spent on discharge management is 30 minutes or less; use 99316 when the time exceeds 30 minutes. Documentation should identify the discharge and describe the clinician’s discharge-related work and time. Routine nursing facility evaluation and management, such as an ongoing assessment of a resident who is not being discharged, is reported with the applicable nursing facility care code rather than this discharge service.

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 Alaska compares for 99315

Across 109 of 109 payment localities, the office rate for 99315 runs from $79.77 in Arkansas to $111.67 in Alaska. Alaska pays $111.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

99315 in Alaska vs other payment areas
  1. Alaska · this page$111.67
  2. Los Angeles, CA · California$92.87−$18.80
  3. Washington, DC area · District of Columbia$94.71−$16.96
  4. Miami, FL · Florida$91.78−$19.89
  5. Chicago, IL · Illinois$90.25−$21.42
  6. Manhattan, NY · New York$96.11−$15.56
  7. Alabama · Alabama$80.44−$31.23

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

Every other payment area

99315 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$79.77$68.86
ArizonaArizona$84.39$72.09
Bakersfield, CACalifornia$88.76$74.85
Chico, CACalifornia$88.44$74.53
El Centro, CACalifornia$88.45$74.54
Fresno, CACalifornia$88.44$74.53
Hanford, CACalifornia$88.44$74.53
Madera, CACalifornia$88.44$74.53

99315 rates by state

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

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.

$79.77

$111.67

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

View every state and territory as a table
99315 office rate range by state
State / territoryOffice rate rangeLocalities
AK$111.671
AL$80.441
AR$79.771
AZ$84.391
CA$88.44–$104.4229
CO$87.881
CT$89.991
DC$94.711
DE$85.391
FL$85.91–$91.783
GA$82.88–$87.122
GU$89.061
HI$89.061
IA$81.251
ID$81.641
IL$84.68–$90.254
IN$81.911
KS$81.211
KY$81.951
LA$81.95–$84.322
MA$87.77–$93.912
MD$86.49–$94.713
ME$82.09–$84.442
MI$83.38–$86.762
MN$84.671
MO$81.25–$84.283
MS$80.511
MT$85.831
NC$82.561
ND$84.051
NE$81.451
NH$86.811
NJ$91.15–$94.442
NM$83.731
NV$85.371
NY$83.31–$97.815
OH$83.021
OK$81.671
OR$84.82–$89.512
PA$82.99–$88.662
PR$86.161
RI$87.551
SC$82.901
SD$83.841
TN$81.471
TX$82.68–$87.508
UT$83.571
VA$84.40–$94.712
VI$86.161
VT$84.031
WA$87.51–$95.232
WI$82.391
WV$82.851
WY$85.061

See 99315 in every payment locality

How the 99315 rate is calculated

Each of 99315’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 · 99315

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.50

1.50 RVUs× 1.000 GPCI

Practice expense0.98

0.98 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

2.5700

Conversion factor

$33.4009

Medicare rate

$85.84

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,052

Code
99315
Physician work
1.50
Practice expense
0.98
Malpractice
0.09

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 99315 in Alaska
ComponentRVULocality factorAdjusted
Physician work1.50× 1.5002.2500
Practice expense0.98× 1.0651.0437
Malpractice0.09× 0.5510.0496
Total RVUs3.3433
Conversion factor× 33.4009

Office rate, Alaska$111.67

Office: (1.5 × 1.5 + 0.98 × 1.065 + 0.09 × 0.551) × $33.4009 = $111.67

Facility: (1.5 × 1.5 + 0.6 × 1.065 + 0.09 × 0.551) × $33.4009 = $98.15

Open 99315 in the RVU calculator

Payment rules and modifiers for 99315

99315 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 · 99315

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$85.84

Non-facility (office)
$85.84
Facility
$73.15

Higher because the practice carries its own overhead.

How 99315 has changed in Alaska

99315 · Office / nonfacility

$111.67

Effective 2026-10-01

The base rate is $7.95 higher than on 2025-10-01, moving from $103.72 to $111.67 (7.7%).

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

    $103.72changed to$111.67

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.83 changed to 0.98
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $106.73changed to$103.72

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $104.99changed to$106.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $108.48changed to$104.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.81 changed to 0.83
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592
  5. January 1, 2023

    RVU23A

    $96.21changed to$108.48

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 1.28 changed to 1.50
    • Practice expense RVU 0.72 changed to 0.81
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $97.01changed to$96.21

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $99.68changed to$97.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.70 changed to 0.72
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $99.67changed to$99.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $99.31changed to$99.67

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $99.28changed to$99.31

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.71 changed to 0.70
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $98.53changed to$99.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.70 changed to 0.71
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $98.63changed to$98.53

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $98.14changed to$98.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $97.62changed to$98.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.69 changed to 0.70
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $93.99changed to$97.62

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.74 changed to 0.69
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $93.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$111.67$98.15RVU26D
2026-07-01$111.67$98.15RVU26C
2026-04-01$111.67$98.15RVU26B
2026-01-01$111.67$98.15RVU26A
2025-10-01$103.72$103.72RVU25D
2025-07-01$103.72$103.72RVU25C
2025-04-01$103.72$103.72RVU25B
2025-01-01$103.72$103.72RVU25A
2024-10-01$106.73$106.73RVU24D
2024-07-01$106.73$106.73RVU24C
2024-04-01$106.73$106.73RVU24B
2024-03-09$106.73$106.73RVU24AR
2024-01-01$104.99$104.99RVU24A
2023-10-01$108.48$108.48RVU23D
2023-07-01$108.48$108.48RVU23C
2023-04-01$108.48$108.48RVU23B
2023-01-01$108.48$108.48RVU23A
2022-10-01$96.21$96.21RVU22D
2022-07-01$96.21$96.21RVU22C
2022-04-01$96.21$96.21RVU22B
2022-01-01$96.21$96.21RVU22A
2021-10-01$97.01$97.01RVU21D
2021-07-01$97.01$97.01RVU21C
2021-04-01$97.01$97.01RVU21B
2021-01-01$97.01$97.01RVU21A
2020-10-01$99.68$99.68RVU20D
2020-07-01$99.68$99.68RVU20C
2020-04-01$99.68$99.68RVU20B
2020-01-01$99.68$99.68RVU20A
2019-10-01$99.67$99.67RVU19D
2019-07-01$99.67$99.67RVU19C
2019-04-01$99.67$99.67RVU19B
2019-01-01$99.67$99.67RVU19A
2018-10-01$99.31$99.31RVU18D
2018-07-01$99.31$99.31RVU18C
2018-04-01$99.31$99.31RVU18B
2018-01-01$99.31$99.31RVU18AR1
2017-10-01$99.28$99.28RVU17D
2017-07-01$99.28$99.28RVU17C
2017-04-01$99.28$99.28RVU17B
2017-01-01$99.28$99.28RVU17A
2016-10-01$98.53$98.53RVU16D
2016-07-01$98.53$98.53RVU16C
2016-04-01$98.53$98.53RVU16B
2016-01-01$98.53$98.53RVU16A
2015-10-01$98.63$98.63RVU15D
2015-07-01$98.63$98.63RVU15C
2015-04-01$98.14$98.14RVU15B
2015-01-01$98.14$98.14RVU15A
2014-10-01$97.62$97.62RVU14D
2014-07-01$97.62$97.62RVU14C
2014-04-01$97.62$97.62RVU14B
2014-01-01$97.62$97.62RVU14A
2013-10-01$93.99$93.99RVU13D
2013-07-01$93.99$93.99RVU13C
2013-04-01$93.99$93.99RVU13B
2013-01-01$93.99$93.99RVU13AR

Price 99315 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

99315 billing questions

How is 99315 distinguished from 99316?

Choose 99315 for discharge management totaling 30 minutes or less. Choose 99316 when the total time exceeds 30 minutes.

What work can be included in discharge management?

The service can include a final examination, discussion of the stay, post-discharge instructions, and preparation of records, prescriptions, or referral forms.

Should this code be used for a routine nursing facility visit?

No. For an ongoing nursing facility assessment when the resident is not being discharged, select the appropriate nursing facility care code.

What should the record support?

Document that the patient was discharged, the discharge-related work performed, and the total time spent on that work.

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 99315PPRRVU2026_Oct_nonQPP.csv, line 13,052 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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