CPT code 99315: Discharge management, 30 minutes or less2026 Medicare rate & RVUs in Missouri
Reports nursing facility discharge management when a physician or qualified health care professional spends 30 minutes or less on discharge-day services.
Medicare pays $81.25–$84.28 for 99315 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 99315 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$81.25 to $84.28
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $83.77 | $71.86 |
| Metropolitan St. Louis, MO | $84.28 | $72.19 |
| Rest of Missouri | $81.25 | $70.30 |
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
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.
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.
99315 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99316Discharge managementMore than 30 minutes
- Both codes cover nursing facility discharge management. Use 99315 for 30 minutes or less and 99316 when total time exceeds 30 minutes.
- 99307Nursing facility visitSubsequent visit, straightforward MDM
- 99307 is for subsequent nursing facility care during an ongoing stay. Use 99315 for discharge-day management when total time is 30 minutes or less.
- 99309Nursing facility visitSubsequent, moderate MDM or 30 minutes
- 99309 reports subsequent nursing facility care selected by medical decision making or time; 99315 reports discharge management based on total time.
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
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