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CPT code 99316: Discharge management, more than 30 minutes2026 Medicare rate & RVUs in Oxnard, CA

Report nursing facility discharge management when a physician or qualified health professional provides discharge-day evaluation and coordination requiring more than 30 minutes.

CMS RVU26DEffective Oct 1, 2026One payment locality378K Medicare services in 2024

In Oxnard, CA, Medicare pays $147.41 for 99316 in the office and $122.94 when it’s performed in a hospital or facility.

$147.41Office (non-facility)
$122.94Hospital or facility
+6.6%vs the national office rate ($138.28)

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.

We’ll open 99316 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 99316 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 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 Oxnard, 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. Oxnard, CA pays $147.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

99316 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$147.41
  2. Bakersfield, CA · California$142.36−$5.05
  3. Chico, CA · California$141.78−$5.63
  4. El Centro, CA · California$141.81−$5.60
  5. Fresno, CA · California$141.78−$5.63
  6. Hanford, CA · California$141.78−$5.63
  7. Los Angeles, CA · California$148.78+$1.37

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

Every other payment area

99316 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$141.78$119.08
Merced, CACalifornia$141.78$119.08
Modesto, CACalifornia$141.78$119.08
Napa, CACalifornia$156.36$129.07
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

99316 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
99316 office rate range by state
State / territoryOffice rate rangeLocalities
AK$180.671
AL$129.681
AR$128.601
AZ$135.941
CA$141.78–$166.5329
CO$141.181
CT$144.921
DC$152.171
DE$137.531
FL$138.98–$148.973
GA$134.07–$140.462
GU$142.621
HI$142.621
IA$130.681
ID$131.361
IL$137.20–$146.464
IN$131.781
KS$130.751
KY$132.351
LA$132.39–$136.162
MA$141.07–$150.602
MD$139.24–$152.173
ME$132.21–$135.742
MI$134.74–$140.462
MN$135.711
MO$131.36–$135.933
MS$129.971
MT$138.271
NC$132.941
ND$134.911
NE$130.971
NH$139.581
NJ$146.69–$151.782
NM$135.351
NV$137.381
NY$134.14–$157.775
OH$134.051
OK$131.761
OR$136.40–$143.612
PA$133.94–$142.892
PR$138.731
RI$140.871
SC$133.701
SD$134.511
TN$131.181
TX$133.46–$140.748
UT$134.751
VA$135.78–$152.172
VI$138.731
VT$134.981
WA$140.61–$152.562
WI$132.291
WV$134.291
WY$136.801

See 99316 in every payment locality

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

Office or facility?

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 Oxnard, 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

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 99316 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work2.50× 1.0282.5700
Practice expense1.47× 1.1821.7375
Malpractice0.17× 0.6230.1059
Total RVUs4.4135
Conversion factor× 33.4009

Office rate, Oxnard, CA$147.41

Office: (2.5 × 1.028 + 1.47 × 1.182 + 0.17 × 0.623) × $33.4009 = $147.41

Facility: (2.5 × 1.028 + 0.85 × 1.182 + 0.17 × 0.623) × $33.4009 = $122.94

Open 99316 in the RVU calculator

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.

Codes related to 99316

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

Codes related to 99316
CodeHow it relatesOffice range, Oxnard, CA
Same family
99315Discharge management, 30 minutes or lessNursing facility discharge management for services taking 30 minutes or less.$92.07
Used instead
99307Nursing facility visit, subsequent visit, straightforward MDMSubsequent nursing facility care for a routine visit rather than discharge management.$45.21
99308Nursing facility visit, subsequent visit, low MDMSubsequent nursing facility care selected by the visit's level of service.$84.99
99309Nursing facility visit, subsequent, moderate MDM or 30 minutesSubsequent nursing facility care when the encounter is a facility follow-up visit.$122.93

How 99316 has changed in Oxnard, CA

99316 · Office / nonfacility

$147.41

Effective 2026-10-01

The base rate is $14.00 higher than on 2025-10-01, moving from $133.41 to $147.41 (10.5%).

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

    $133.41changed to$147.41

    • 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 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $137.50changed to$133.41

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $135.26changed to$137.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $139.23changed to$135.26

    • 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 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651

  5. January 1, 2023

    RVU23A

    $110.28changed to$139.23

    • 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
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $111.70changed to$110.28

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $113.94changed to$111.70

    • 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 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $113.53changed to$113.94

    • 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 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $114.26changed to$113.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.97 changed to 0.95

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $114.13changed to$114.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.96 changed to 0.97
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $114.09changed to$114.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.95 changed to 0.96
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $113.90changed to$114.09

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.11 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $113.33changed to$113.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $112.79changed to$113.33

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.94 changed to 0.95
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.032 changed to 1.030
    • Practice expense GPCI 1.187 changed to 1.180
    • Malpractice GPCI 0.720 changed to 0.834

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $109.90changed to$112.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.01 changed to 0.94
    • Work GPCI 1.034 changed to 1.032
    • Practice expense GPCI 1.193 changed to 1.187
    • Malpractice GPCI 0.605 changed to 0.720

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$109.90

  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$147.41$122.94RVU26D
2026-07-01$147.41$122.94RVU26C
2026-04-01$147.41$122.94RVU26B
2026-01-01$147.41$122.94RVU26A
2025-10-01$133.41$133.41RVU25D
2025-07-01$133.41$133.41RVU25C
2025-04-01$133.41$133.41RVU25B
2025-01-01$133.41$133.41RVU25A
2024-10-01$137.50$137.50RVU24D
2024-07-01$137.50$137.50RVU24C
2024-04-01$137.50$137.50RVU24B
2024-03-09$137.50$137.50RVU24AR
2024-01-01$135.26$135.26RVU24A
2023-10-01$139.23$139.23RVU23D
2023-07-01$139.23$139.23RVU23C
2023-04-01$139.23$139.23RVU23B
2023-01-01$139.23$139.23RVU23A
2022-10-01$110.28$110.28RVU22D
2022-07-01$110.28$110.28RVU22C
2022-04-01$110.28$110.28RVU22B
2022-01-01$110.28$110.28RVU22A
2021-10-01$111.70$111.70RVU21D
2021-07-01$111.70$111.70RVU21C
2021-04-01$111.70$111.70RVU21B
2021-01-01$111.70$111.70RVU21A
2020-10-01$113.94$113.94RVU20D
2020-07-01$113.94$113.94RVU20C
2020-04-01$113.94$113.94RVU20B
2020-01-01$113.94$113.94RVU20A
2019-10-01$113.53$113.53RVU19D
2019-07-01$113.53$113.53RVU19C
2019-04-01$113.53$113.53RVU19B
2019-01-01$113.53$113.53RVU19A
2018-10-01$114.26$114.26RVU18D
2018-07-01$114.26$114.26RVU18C
2018-04-01$114.26$114.26RVU18B
2018-01-01$114.26$114.26RVU18AR1
2017-10-01$114.13$114.13RVU17D
2017-07-01$114.13$114.13RVU17C
2017-04-01$114.13$114.13RVU17B
2017-01-01$114.13$114.13RVU17A
2016-10-01$114.09$114.09RVU16D
2016-07-01$114.09$114.09RVU16C
2016-04-01$114.09$114.09RVU16B
2016-01-01$114.09$114.09RVU16A
2015-10-01$113.90$113.90RVU15D
2015-07-01$113.90$113.90RVU15C
2015-04-01$113.33$113.33RVU15B
2015-01-01$113.33$113.33RVU15A
2014-10-01$112.79$112.79RVU14D
2014-07-01$112.79$112.79RVU14C
2014-04-01$112.79$112.79RVU14B
2014-01-01$112.79$112.79RVU14A
2013-10-01$109.90$109.90RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 99316 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

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
RVUs for 99316PPRRVU2026_Oct_nonQPP.csv, line 13,053 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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