CPT code 99316: Discharge management, more than 30 minutes2026 Medicare rate & RVUs in Marin County, CA
Report nursing facility discharge management when a physician or qualified health professional provides discharge-day evaluation and coordination requiring more than 30 minutes.
In Marin County, CA, Medicare pays $163.27 for 99316 in the office and $134.07 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99316 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99316 covers
Code 99316 describes discharge-day management for a patient leaving a nursing facility. A physician or other qualified health professional may perform the service before discharge to home, assisted living, or another care setting. The work can include a final examination, discussion of the discharge plan and instructions with the patient or caregiver, preparation of discharge records and prescriptions, arranging referrals, and communicating with other professionals involved in the transition.
Select this code when the total time spent on discharge management is more than 30 minutes; use 99315 when the service takes 30 minutes or less. Document the discharge date, total time, and the management activities performed. The activities involved in completing the discharge are represented by the discharge-management service rather than itemized as separate discharge-management codes. CMS assigns work, practice-expense, and malpractice relative value units to the 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 Marin County, CA compares for 99316
Across 109 of 109 payment localities, the office rate for 99316 runs from $128.60 in Arkansas to $180.67 in Alaska. Marin County, CA pays $163.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$163.27
- Bakersfield, CA · California$142.36−$20.91
- Chico, CA · California$141.78−$21.49
- El Centro, CA · California$141.81−$21.46
- Fresno, CA · California$141.78−$21.49
- Hanford, CA · California$141.78−$21.49
- Los Angeles, CA · California$148.78−$14.49
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $141.78 | $119.08 |
| Merced, CACalifornia | $141.78 | $119.08 |
| Modesto, CACalifornia | $141.78 | $119.08 |
| Napa, CACalifornia | $156.36 | $129.07 |
| Oxnard, CACalifornia | $147.41 | $122.94 |
| Redding, CACalifornia | $141.78 | $119.08 |
| Rest of CaliforniaCalifornia | $141.78 | $119.08 |
| Riverside, CACalifornia | $143.66 | $120.97 |
| Sacramento, CACalifornia | $146.65 | $122.57 |
| Salinas, CACalifornia | $146.04 | $122.04 |
| San Diego, CACalifornia | $147.81 | $123.04 |
| San Francisco, CACalifornia | $163.08 | $133.88 |
| San Benito County, CACalifornia | $166.53 | $136.67 |
| Santa Clara County, CACalifornia | $165.74 | $135.88 |
| San Luis Obispo, CACalifornia | $143.89 | $120.30 |
| Santa Cruz, CACalifornia | $147.95 | $122.79 |
| Santa Maria, CACalifornia | $146.13 | $121.99 |
| Santa Rosa, CACalifornia | $149.34 | $123.91 |
| Stockton, CACalifornia | $141.78 | $119.08 |
| Vallejo, CACalifornia | $156.08 | $128.79 |
| Visalia, CACalifornia | $141.78 | $119.08 |
| Yuba City, CACalifornia | $141.78 | $119.08 |
| Washington, DC areaDistrict of Columbia | $152.17 | $127.78 |
| Miami, FLFlorida | $148.97 | $127.42 |
| Chicago, ILIllinois | $146.46 | $125.65 |
| Manhattan, NYNew York | $154.91 | $130.84 |
| AlaskaAlaska | $180.67 | $158.62 |
| AlabamaAlabama | $129.68 | $111.56 |
| ArkansasArkansas | $128.60 | $110.81 |
| ArizonaArizona | $135.94 | $115.87 |
| ColoradoColorado | $141.18 | $119.15 |
| ConnecticutConnecticut | $144.92 | $122.62 |
| DelawareDelaware | $137.53 | $117.07 |
| Fort Lauderdale, FLFlorida | $143.51 | $122.53 |
| Rest of FloridaFlorida | $138.98 | $119.18 |
| Atlanta, GAGeorgia | $140.46 | $119.42 |
| Rest of GeorgiaGeorgia | $134.07 | $115.60 |
| Hawaii, Guam, HIHawaii | $142.62 | $119.07 |
| IowaIowa | $130.68 | $111.73 |
| IdahoIdaho | $131.36 | $112.31 |
| East St. Louis, ILIllinois | $140.11 | $121.06 |
| Rest of IllinoisIllinois | $137.20 | $118.30 |
| Suburban Chicago, ILIllinois | $144.57 | $123.31 |
| IndianaIndiana | $131.78 | $112.58 |
| KansasKansas | $130.75 | $112.03 |
| KentuckyKentucky | $132.35 | $113.94 |
| New Orleans, LALouisiana | $136.16 | $116.67 |
| Rest of LouisianaLouisiana | $132.39 | $114.07 |
| Metropolitan Boston, MAMassachusetts | $150.60 | $125.88 |
| Rest of MassachusettsMassachusetts | $141.07 | $119.26 |
| Baltimore area, MDMaryland | $144.55 | $122.33 |
| Rest of MarylandMaryland | $139.24 | $118.28 |
| Rest of MaineMaine | $132.21 | $113.15 |
| Southern Maine, MEMaine | $135.74 | $115.22 |
| Detroit, MIMichigan | $140.46 | $120.47 |
| Rest of MichiganMichigan | $134.74 | $115.83 |
| MinnesotaMinnesota | $135.71 | $114.40 |
| Metropolitan Kansas City, MOMissouri | $135.15 | $115.71 |
| Metropolitan St. Louis, MOMissouri | $135.93 | $116.22 |
| Rest of MissouriMissouri | $131.36 | $113.51 |
| MississippiMississippi | $129.97 | $112.14 |
| MontanaMontana | $138.27 | $117.56 |
| North CarolinaNorth Carolina | $132.94 | $113.62 |
| North DakotaNorth Dakota | $134.91 | $114.20 |
| NebraskaNebraska | $130.97 | $111.85 |
| New HampshireNew Hampshire | $139.58 | $118.03 |
| Northern New JerseyNew Jersey | $151.78 | $127.76 |
| Rest of New JerseyNew Jersey | $146.69 | $124.07 |
| New MexicoNew Mexico | $135.35 | $116.36 |
| NevadaNevada | $137.38 | $116.65 |
| NYC suburbs and Long Island, NYNew York | $157.77 | $133.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $147.89 | $125.22 |
| Queens, NYNew York | $155.07 | $130.59 |
| Rest of New YorkNew York | $134.14 | $114.47 |
| OhioOhio | $134.05 | $115.15 |
| OklahomaOklahoma | $131.76 | $113.27 |
| Portland, OROregon | $143.61 | $120.60 |
| Rest of OregonOregon | $136.40 | $115.77 |
| Metropolitan Philadelphia, PAPennsylvania | $142.89 | $121.33 |
| Rest of PennsylvaniaPennsylvania | $133.94 | $114.93 |
| Puerto RicoPuerto Rico | $138.73 | $117.80 |
| Rhode IslandRhode Island | $140.87 | $119.48 |
| South CarolinaSouth Carolina | $133.70 | $114.56 |
| South DakotaSouth Dakota | $134.51 | $113.80 |
| TennesseeTennessee | $131.18 | $112.36 |
| Austin, TXTexas | $140.65 | $118.74 |
| Beaumont, TXTexas | $133.46 | $114.61 |
| Brazoria, TXTexas | $137.26 | $116.73 |
| Dallas, TXTexas | $138.03 | $117.40 |
| Fort Worth, TXTexas | $137.61 | $117.19 |
| Galveston, TXTexas | $137.63 | $117.06 |
| Houston, TXTexas | $140.74 | $120.18 |
| Rest of TexasTexas | $135.22 | $115.57 |
| UtahUtah | $134.75 | $115.29 |
| VirginiaVirginia | $135.78 | $115.42 |
| Virgin Islands, VIUnited States Virgin Islands | $138.73 | $117.80 |
| VermontVermont | $134.98 | $114.48 |
| Rest of WashingtonWashington | $140.61 | $118.80 |
| King County, WAWashington | $152.56 | $127.15 |
| WisconsinWisconsin | $132.29 | $112.45 |
| West VirginiaWest Virginia | $134.29 | $116.30 |
| WyomingWyoming | $136.80 | $116.09 |
99316 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.
$128.60
$180.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $180.67 | 1 |
| AL | $129.68 | 1 |
| AR | $128.60 | 1 |
| AZ | $135.94 | 1 |
| CA | $141.78–$166.53 | 29 |
| CO | $141.18 | 1 |
| CT | $144.92 | 1 |
| DC | $152.17 | 1 |
| DE | $137.53 | 1 |
| FL | $138.98–$148.97 | 3 |
| GA | $134.07–$140.46 | 2 |
| GU | $142.62 | 1 |
| HI | $142.62 | 1 |
| IA | $130.68 | 1 |
| ID | $131.36 | 1 |
| IL | $137.20–$146.46 | 4 |
| IN | $131.78 | 1 |
| KS | $130.75 | 1 |
| KY | $132.35 | 1 |
| LA | $132.39–$136.16 | 2 |
| MA | $141.07–$150.60 | 2 |
| MD | $139.24–$152.17 | 3 |
| ME | $132.21–$135.74 | 2 |
| MI | $134.74–$140.46 | 2 |
| MN | $135.71 | 1 |
| MO | $131.36–$135.93 | 3 |
| MS | $129.97 | 1 |
| MT | $138.27 | 1 |
| NC | $132.94 | 1 |
| ND | $134.91 | 1 |
| NE | $130.97 | 1 |
| NH | $139.58 | 1 |
| NJ | $146.69–$151.78 | 2 |
| NM | $135.35 | 1 |
| NV | $137.38 | 1 |
| NY | $134.14–$157.77 | 5 |
| OH | $134.05 | 1 |
| OK | $131.76 | 1 |
| OR | $136.40–$143.61 | 2 |
| PA | $133.94–$142.89 | 2 |
| PR | $138.73 | 1 |
| RI | $140.87 | 1 |
| SC | $133.70 | 1 |
| SD | $134.51 | 1 |
| TN | $131.18 | 1 |
| TX | $133.46–$140.74 | 8 |
| UT | $134.75 | 1 |
| VA | $135.78–$152.17 | 2 |
| VI | $138.73 | 1 |
| VT | $134.98 | 1 |
| WA | $140.61–$152.56 | 2 |
| WI | $132.29 | 1 |
| WV | $134.29 | 1 |
| WY | $136.80 | 1 |
How the 99316 rate is calculated
Each of 99316’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 · 99316
RVUs × geographic indexes × conversion factor
Work2.50
2.50 RVUs× 1.000 GPCI
Practice expense1.47
1.47 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
4.1400
Conversion factor
$33.4009
Medicare rate
$138.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,053
- Code
- 99316
- Physician work
- 2.50
- Practice expense
- 1.47
- Malpractice
- 0.17
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.50 | × 1.095 | 2.7375 |
| Practice expense | 1.47 | × 1.410 | 2.0727 |
| Malpractice | 0.17 | × 0.459 | 0.0780 |
| Total RVUs | 4.8882 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$163.27
Office: (2.5 × 1.095 + 1.47 × 1.41 + 0.17 × 0.459) × $33.4009 = $163.27
Facility: (2.5 × 1.095 + 0.85 × 1.41 + 0.17 × 0.459) × $33.4009 = $134.07
Payment rules and modifiers for 99316
99316 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 · 99316
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$138.28
- Non-facility (office)
- $138.28
- Facility
- $117.57
Higher because the practice carries its own overhead.
How 99316 has changed in Marin County, CA
99316 · Office / nonfacility
$163.27
Effective 2026-10-01
The base rate is $16.40 higher than on 2025-10-01, moving from $146.87 to $163.27 (11.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$146.87changed to$163.27
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.23 changed to 1.47
- Malpractice RVU 0.16 changed to 0.17
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$151.30changed to$146.87
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$148.83changed to$151.30
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$150.51changed to$148.83
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.20 changed to 1.23
- Malpractice RVU 0.18 changed to 0.17
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$117.81changed to$150.51
- Conversion factor 34.6062 changed to 33.8872
- Work RVU 1.90 changed to 2.50
- Practice expense RVU 0.98 changed to 1.20
- Malpractice RVU 0.11 changed to 0.18
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$118.12changed to$117.81
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.13 changed to 0.11
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$120.15changed to$118.12
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.96 changed to 0.98
- Malpractice RVU 0.11 changed to 0.13
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$119.27changed to$120.15
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.95 changed to 0.96
- Malpractice RVU 0.13 changed to 0.11
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$119.45changed to$119.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.97 changed to 0.95
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$118.16changed to$119.45
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.96 changed to 0.97
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$118.16
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $163.27 | $134.07 | RVU26D |
| 2026-07-01 | $163.27 | $134.07 | RVU26C |
| 2026-04-01 | $163.27 | $134.07 | RVU26B |
| 2026-01-01 | $163.27 | $134.07 | RVU26A |
| 2025-10-01 | $146.87 | $146.87 | RVU25D |
| 2025-07-01 | $146.87 | $146.87 | RVU25C |
| 2025-04-01 | $146.87 | $146.87 | RVU25B |
| 2025-01-01 | $146.87 | $146.87 | RVU25A |
| 2024-10-01 | $151.30 | $151.30 | RVU24D |
| 2024-07-01 | $151.30 | $151.30 | RVU24C |
| 2024-04-01 | $151.30 | $151.30 | RVU24B |
| 2024-03-09 | $151.30 | $151.30 | RVU24AR |
| 2024-01-01 | $148.83 | $148.83 | RVU24A |
| 2023-10-01 | $150.51 | $150.51 | RVU23D |
| 2023-07-01 | $150.51 | $150.51 | RVU23C |
| 2023-04-01 | $150.51 | $150.51 | RVU23B |
| 2023-01-01 | $150.51 | $150.51 | RVU23A |
| 2022-10-01 | $117.81 | $117.81 | RVU22D |
| 2022-07-01 | $117.81 | $117.81 | RVU22C |
| 2022-04-01 | $117.81 | $117.81 | RVU22B |
| 2022-01-01 | $117.81 | $117.81 | RVU22A |
| 2021-10-01 | $118.12 | $118.12 | RVU21D |
| 2021-07-01 | $118.12 | $118.12 | RVU21C |
| 2021-04-01 | $118.12 | $118.12 | RVU21B |
| 2021-01-01 | $118.12 | $118.12 | RVU21A |
| 2020-10-01 | $120.15 | $120.15 | RVU20D |
| 2020-07-01 | $120.15 | $120.15 | RVU20C |
| 2020-04-01 | $120.15 | $120.15 | RVU20B |
| 2020-01-01 | $120.15 | $120.15 | RVU20A |
| 2019-10-01 | $119.27 | $119.27 | RVU19D |
| 2019-07-01 | $119.27 | $119.27 | RVU19C |
| 2019-04-01 | $119.27 | $119.27 | RVU19B |
| 2019-01-01 | $119.27 | $119.27 | RVU19A |
| 2018-10-01 | $119.45 | $119.45 | RVU18D |
| 2018-07-01 | $119.45 | $119.45 | RVU18C |
| 2018-04-01 | $119.45 | $119.45 | RVU18B |
| 2018-01-01 | $119.45 | $119.45 | RVU18AR1 |
| 2017-10-01 | $118.16 | $118.16 | RVU17D |
| 2017-07-01 | $118.16 | $118.16 | RVU17C |
| 2017-04-01 | $118.16 | $118.16 | RVU17B |
| 2017-01-01 | $118.16 | $118.16 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
99316 billing questions
How does 99316 differ from 99315?
The distinction is total discharge-management time: 99316 is for more than 30 minutes, while 99315 is for 30 minutes or less. Document the time supporting the selected code.
What work can count toward the discharge-management service?
The service may include the final examination, discharge-plan discussion and instructions, preparing records or prescriptions, arranging referrals, and communicating with other professionals about the transition.
What time and documentation should the record show?
Record the discharge date, total time spent on discharge management, and the activities performed. The documented total must exceed 30 minutes for 99316.
Is a routine nursing facility follow-up visit the same service?
No. Discharge management addresses the work of preparing a patient to leave the facility; subsequent nursing facility care codes describe follow-up care while the patient remains in the facility.
Can post-discharge home care be reported as 99316?
No. Code 99316 describes nursing facility discharge-day management, not a later home or residence visit. Select a home or residence E/M code when a separate visit occurs after discharge.
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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