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

In Delaware, Medicare pays $85.39 for 99315 in the office and $72.85 when it’s performed in a hospital or facility.

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.

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 Delaware 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. Delaware pays $85.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99315 rates by state

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

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.

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.

Codes related to 99315

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

How 99315 has changed in Delaware

Price 99315 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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