CPT code 99316: Discharge management, more than 30 minutes2026 Medicare rate & RVUs in Detroit, MI
Report nursing facility discharge management when a physician or qualified health professional provides discharge-day evaluation and coordination requiring more than 30 minutes.
In Detroit, MI, Medicare pays $140.46 for 99316 in the office and $120.47 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 Detroit, MI 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. Detroit, MI pays $140.46. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Detroit, MI · this page$140.46
- Rest of Michigan · Michigan$134.74−$5.72
- Los Angeles, CA · California$148.78+$8.32
- Washington, DC area · District of Columbia$152.17+$11.71
- Miami, FL · Florida$148.97+$8.51
- Chicago, IL · Illinois$146.46+$6.00
- Manhattan, NY · New York$154.91+$14.45
Other areas in Michigan first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $180.67 | $158.62 |
| AlabamaAlabama | $129.68 | $111.56 |
| ArkansasArkansas | $128.60 | $110.81 |
| ArizonaArizona | $135.94 | $115.87 |
| Bakersfield, CACalifornia | $142.36 | $119.66 |
| Chico, CACalifornia | $141.78 | $119.08 |
| El Centro, CACalifornia | $141.81 | $119.11 |
| Fresno, CACalifornia | $141.78 | $119.08 |
| Hanford, CACalifornia | $141.78 | $119.08 |
| 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 |
| Marin County, CACalifornia | $163.27 | $134.07 |
| 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 |
| 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 |
| 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 Detroit, MI 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
64
- Locality
- Detroit, MI
- Physician work
- 1.000
- Practice expense
- 0.965
- Malpractice
- 1.686
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.50 | × 1.000 | 2.5000 |
| Practice expense | 1.47 | × 0.965 | 1.4185 |
| Malpractice | 0.17 | × 1.686 | 0.2866 |
| Total RVUs | 4.2052 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Detroit, MI$140.46
Office: (2.5 × 1 + 1.47 × 0.965 + 0.17 × 1.686) × $33.4009 = $140.46
Facility: (2.5 × 1 + 0.85 × 0.965 + 0.17 × 1.686) × $33.4009 = $120.47
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 Detroit, MI
99316 · Office / nonfacility
$140.46
Effective 2026-10-01
The base rate is $11.23 higher than on 2025-10-01, moving from $129.23 to $140.46 (8.7%).
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
$129.23changed to$140.46
- 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 1.003 changed to 1.000
- Practice expense GPCI 0.986 changed to 0.965
- Malpractice GPCI 1.718 changed to 1.686
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$133.56changed to$129.23
- 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
$131.38changed to$133.56
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$135.24changed to$131.38
- 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 1.000 changed to 1.003
- Practice expense GPCI 0.992 changed to 0.986
- Malpractice GPCI 1.670 changed to 1.718
January 1, 2023
RVU23A
$105.74changed to$135.24
- 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 0.997 changed to 0.992
- Malpractice GPCI 1.622 changed to 1.670
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$107.75changed to$105.74
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.13 changed to 0.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$109.55changed to$107.75
- 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
- Practice expense GPCI 0.993 changed to 0.997
- Malpractice GPCI 1.657 changed to 1.622
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$110.26changed to$109.55
- 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
- Practice expense GPCI 0.989 changed to 0.993
- Malpractice GPCI 1.691 changed to 1.657
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$110.85changed to$110.26
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.97 changed to 0.95
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$109.41changed to$110.85
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.96 changed to 0.97
- Practice expense GPCI 0.992 changed to 0.989
- Malpractice GPCI 1.510 changed to 1.691
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$108.02changed to$109.41
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.95 changed to 0.96
- Practice expense GPCI 0.994 changed to 0.992
- Malpractice GPCI 1.328 changed to 1.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$107.45changed to$108.02
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.11 changed to 0.13
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$106.92changed to$107.45
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$108.35changed to$106.92
- 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 1.010 changed to 1.000
- Practice expense GPCI 1.009 changed to 0.994
- Malpractice GPCI 1.571 changed to 1.328
Held through RVU15B.
January 1, 2014
RVU14A
$107.39changed to$108.35
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.01 changed to 0.94
- Work GPCI 1.022 changed to 1.010
- Practice expense GPCI 1.023 changed to 1.009
- Malpractice GPCI 1.814 changed to 1.571
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $107.39
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $140.46 | $120.47 | RVU26D |
| 2026-07-01 | $140.46 | $120.47 | RVU26C |
| 2026-04-01 | $140.46 | $120.47 | RVU26B |
| 2026-01-01 | $140.46 | $120.47 | RVU26A |
| 2025-10-01 | $129.23 | $129.23 | RVU25D |
| 2025-07-01 | $129.23 | $129.23 | RVU25C |
| 2025-04-01 | $129.23 | $129.23 | RVU25B |
| 2025-01-01 | $129.23 | $129.23 | RVU25A |
| 2024-10-01 | $133.56 | $133.56 | RVU24D |
| 2024-07-01 | $133.56 | $133.56 | RVU24C |
| 2024-04-01 | $133.56 | $133.56 | RVU24B |
| 2024-03-09 | $133.56 | $133.56 | RVU24AR |
| 2024-01-01 | $131.38 | $131.38 | RVU24A |
| 2023-10-01 | $135.24 | $135.24 | RVU23D |
| 2023-07-01 | $135.24 | $135.24 | RVU23C |
| 2023-04-01 | $135.24 | $135.24 | RVU23B |
| 2023-01-01 | $135.24 | $135.24 | RVU23A |
| 2022-10-01 | $105.74 | $105.74 | RVU22D |
| 2022-07-01 | $105.74 | $105.74 | RVU22C |
| 2022-04-01 | $105.74 | $105.74 | RVU22B |
| 2022-01-01 | $105.74 | $105.74 | RVU22A |
| 2021-10-01 | $107.75 | $107.75 | RVU21D |
| 2021-07-01 | $107.75 | $107.75 | RVU21C |
| 2021-04-01 | $107.75 | $107.75 | RVU21B |
| 2021-01-01 | $107.75 | $107.75 | RVU21A |
| 2020-10-01 | $109.55 | $109.55 | RVU20D |
| 2020-07-01 | $109.55 | $109.55 | RVU20C |
| 2020-04-01 | $109.55 | $109.55 | RVU20B |
| 2020-01-01 | $109.55 | $109.55 | RVU20A |
| 2019-10-01 | $110.26 | $110.26 | RVU19D |
| 2019-07-01 | $110.26 | $110.26 | RVU19C |
| 2019-04-01 | $110.26 | $110.26 | RVU19B |
| 2019-01-01 | $110.26 | $110.26 | RVU19A |
| 2018-10-01 | $110.85 | $110.85 | RVU18D |
| 2018-07-01 | $110.85 | $110.85 | RVU18C |
| 2018-04-01 | $110.85 | $110.85 | RVU18B |
| 2018-01-01 | $110.85 | $110.85 | RVU18AR1 |
| 2017-10-01 | $109.41 | $109.41 | RVU17D |
| 2017-07-01 | $109.41 | $109.41 | RVU17C |
| 2017-04-01 | $109.41 | $109.41 | RVU17B |
| 2017-01-01 | $109.41 | $109.41 | RVU17A |
| 2016-10-01 | $108.02 | $108.02 | RVU16D |
| 2016-07-01 | $108.02 | $108.02 | RVU16C |
| 2016-04-01 | $108.02 | $108.02 | RVU16B |
| 2016-01-01 | $108.02 | $108.02 | RVU16A |
| 2015-10-01 | $107.45 | $107.45 | RVU15D |
| 2015-07-01 | $107.45 | $107.45 | RVU15C |
| 2015-04-01 | $106.92 | $106.92 | RVU15B |
| 2015-01-01 | $106.92 | $106.92 | RVU15A |
| 2014-10-01 | $108.35 | $108.35 | RVU14D |
| 2014-07-01 | $108.35 | $108.35 | RVU14C |
| 2014-04-01 | $108.35 | $108.35 | RVU14B |
| 2014-01-01 | $108.35 | $108.35 | RVU14A |
| 2013-10-01 | $107.39 | $107.39 | RVU13D |
| 2013-07-01 | $107.39 | $107.39 | RVU13C |
| 2013-04-01 | $107.39 | $107.39 | RVU13B |
| 2013-01-01 | $107.39 | $107.39 | RVU13AR |
Where the Detroit, MI rate applies
Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.
- Detroit
- Allen Park
- Ann Arbor
- Armada
- Auburn Hills
- Barton Hills
- Belleville
- Berkley
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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