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

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 Nevada, Medicare pays $85.37 for 99315 in the office and $72.67 when it’s performed in a hospital or facility.

$85.37Office (non-facility)
$72.67Hospital or facility
−0.5%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 Nevada
  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 Nevada 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. Nevada pays $85.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

99315 in Nevada vs other payment areas
  1. Nevada · this page$85.37
  2. Los Angeles, CA · California$92.87+$7.50
  3. Washington, DC area · District of Columbia$94.71+$9.34
  4. Miami, FL · Florida$91.78+$6.41
  5. Chicago, IL · Illinois$90.25+$4.88
  6. Manhattan, NY · New York$96.11+$10.74
  7. Alaska · Alaska$111.67+$26.30

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

Every other payment area

99315 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$80.44$69.34
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

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 99315 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0001.5000
Practice expense0.98× 1.0010.9810
Malpractice0.09× 0.8330.0750
Total RVUs2.5559
Conversion factor× 33.4009

Office rate, Nevada$85.37

Office: (1.5 × 1 + 0.98 × 1.001 + 0.09 × 0.833) × $33.4009 = $85.37

Facility: (1.5 × 1 + 0.6 × 1.001 + 0.09 × 0.833) × $33.4009 = $72.67

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 Nevada

99315 · Office / nonfacility

$85.37

Effective 2026-10-01

The base rate is $7.27 higher than on 2025-10-01, moving from $78.10 to $85.37 (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

    $78.10changed to$85.37

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.37changed to$78.10

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $79.06changed to$80.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $82.00changed to$79.06

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.81 changed to 0.83
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $73.64changed to$82.00

    • 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
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $74.25changed to$73.64

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $75.31changed to$74.25

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.70 changed to 0.72
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $74.83changed to$75.31

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $74.42changed to$74.83

    • 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

    $75.18changed to$74.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.71 changed to 0.70
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $75.21changed to$75.18

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.70 changed to 0.71
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $75.13changed to$75.21

    • 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

    $74.76changed to$75.13

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $75.15changed to$74.76

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $73.54changed to$75.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.74 changed to 0.69
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$73.54

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$85.37$72.67RVU26D
2026-07-01$85.37$72.67RVU26C
2026-04-01$85.37$72.67RVU26B
2026-01-01$85.37$72.67RVU26A
2025-10-01$78.10$78.10RVU25D
2025-07-01$78.10$78.10RVU25C
2025-04-01$78.10$78.10RVU25B
2025-01-01$78.10$78.10RVU25A
2024-10-01$80.37$80.37RVU24D
2024-07-01$80.37$80.37RVU24C
2024-04-01$80.37$80.37RVU24B
2024-03-09$80.37$80.37RVU24AR
2024-01-01$79.06$79.06RVU24A
2023-10-01$82.00$82.00RVU23D
2023-07-01$82.00$82.00RVU23C
2023-04-01$82.00$82.00RVU23B
2023-01-01$82.00$82.00RVU23A
2022-10-01$73.64$73.64RVU22D
2022-07-01$73.64$73.64RVU22C
2022-04-01$73.64$73.64RVU22B
2022-01-01$73.64$73.64RVU22A
2021-10-01$74.25$74.25RVU21D
2021-07-01$74.25$74.25RVU21C
2021-04-01$74.25$74.25RVU21B
2021-01-01$74.25$74.25RVU21A
2020-10-01$75.31$75.31RVU20D
2020-07-01$75.31$75.31RVU20C
2020-04-01$75.31$75.31RVU20B
2020-01-01$75.31$75.31RVU20A
2019-10-01$74.83$74.83RVU19D
2019-07-01$74.83$74.83RVU19C
2019-04-01$74.83$74.83RVU19B
2019-01-01$74.83$74.83RVU19A
2018-10-01$74.42$74.42RVU18D
2018-07-01$74.42$74.42RVU18C
2018-04-01$74.42$74.42RVU18B
2018-01-01$74.42$74.42RVU18AR1
2017-10-01$75.18$75.18RVU17D
2017-07-01$75.18$75.18RVU17C
2017-04-01$75.18$75.18RVU17B
2017-01-01$75.18$75.18RVU17A
2016-10-01$75.21$75.21RVU16D
2016-07-01$75.21$75.21RVU16C
2016-04-01$75.21$75.21RVU16B
2016-01-01$75.21$75.21RVU16A
2015-10-01$75.13$75.13RVU15D
2015-07-01$75.13$75.13RVU15C
2015-04-01$74.76$74.76RVU15B
2015-01-01$74.76$74.76RVU15A
2014-10-01$75.15$75.15RVU14D
2014-07-01$75.15$75.15RVU14C
2014-04-01$75.15$75.15RVU14B
2014-01-01$75.15$75.15RVU14A
2013-10-01$73.54$73.54RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 99315 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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