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

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 North Dakota, Medicare pays $134.91 for 99316 in the office and $114.20 when it’s performed in a hospital or facility.

$134.91Office (non-facility)
$114.20Hospital or facility
−2.4%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 North Dakota
  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 North Dakota 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. North Dakota pays $134.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

99316 in North Dakota vs other payment areas
  1. North Dakota · this page$134.91
  2. Los Angeles, CA · California$148.78+$13.87
  3. Washington, DC area · District of Columbia$152.17+$17.26
  4. Miami, FL · Florida$148.97+$14.06
  5. Chicago, IL · Illinois$146.46+$11.55
  6. Manhattan, NY · New York$154.91+$20.00
  7. Alaska · Alaska$180.67+$45.76

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

Every other payment area

99316 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 99316 in North Dakota
ComponentRVULocality factorAdjusted
Physician work2.50× 1.0002.5000
Practice expense1.47× 1.0001.4700
Malpractice0.17× 0.4060.0690
Total RVUs4.0390
Conversion factor× 33.4009

Office rate, North Dakota$134.91

Office: (2.5 × 1 + 1.47 × 1 + 0.17 × 0.406) × $33.4009 = $134.91

Facility: (2.5 × 1 + 0.85 × 1 + 0.17 × 0.406) × $33.4009 = $114.20

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.

How 99316 has changed in North Dakota

99316 · Office / nonfacility

$134.91

Effective 2026-10-01

The base rate is $11.58 higher than on 2025-10-01, moving from $123.33 to $134.91 (9.4%).

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

    $123.33changed to$134.91

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $127.09changed to$123.33

    • 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

    $125.01changed to$127.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.27changed to$125.01

    • 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
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $101.31changed to$128.27

    • 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
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $102.45changed to$101.31

    • 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

    $105.14changed to$102.45

    • 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
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $105.24changed to$105.14

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $105.85changed to$105.24

    • 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

    $105.19changed to$105.85

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.96 changed to 0.97
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $104.62changed to$105.19

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.95 changed to 0.96
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $104.60changed to$104.62

    • 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

    $104.08changed to$104.60

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $103.66changed to$104.08

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $100.77changed to$103.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.01 changed to 0.94
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $100.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$134.91$114.20RVU26D
2026-07-01$134.91$114.20RVU26C
2026-04-01$134.91$114.20RVU26B
2026-01-01$134.91$114.20RVU26A
2025-10-01$123.33$123.33RVU25D
2025-07-01$123.33$123.33RVU25C
2025-04-01$123.33$123.33RVU25B
2025-01-01$123.33$123.33RVU25A
2024-10-01$127.09$127.09RVU24D
2024-07-01$127.09$127.09RVU24C
2024-04-01$127.09$127.09RVU24B
2024-03-09$127.09$127.09RVU24AR
2024-01-01$125.01$125.01RVU24A
2023-10-01$128.27$128.27RVU23D
2023-07-01$128.27$128.27RVU23C
2023-04-01$128.27$128.27RVU23B
2023-01-01$128.27$128.27RVU23A
2022-10-01$101.31$101.31RVU22D
2022-07-01$101.31$101.31RVU22C
2022-04-01$101.31$101.31RVU22B
2022-01-01$101.31$101.31RVU22A
2021-10-01$102.45$102.45RVU21D
2021-07-01$102.45$102.45RVU21C
2021-04-01$102.45$102.45RVU21B
2021-01-01$102.45$102.45RVU21A
2020-10-01$105.14$105.14RVU20D
2020-07-01$105.14$105.14RVU20C
2020-04-01$105.14$105.14RVU20B
2020-01-01$105.14$105.14RVU20A
2019-10-01$105.24$105.24RVU19D
2019-07-01$105.24$105.24RVU19C
2019-04-01$105.24$105.24RVU19B
2019-01-01$105.24$105.24RVU19A
2018-10-01$105.85$105.85RVU18D
2018-07-01$105.85$105.85RVU18C
2018-04-01$105.85$105.85RVU18B
2018-01-01$105.85$105.85RVU18AR1
2017-10-01$105.19$105.19RVU17D
2017-07-01$105.19$105.19RVU17C
2017-04-01$105.19$105.19RVU17B
2017-01-01$105.19$105.19RVU17A
2016-10-01$104.62$104.62RVU16D
2016-07-01$104.62$104.62RVU16C
2016-04-01$104.62$104.62RVU16B
2016-01-01$104.62$104.62RVU16A
2015-10-01$104.60$104.60RVU15D
2015-07-01$104.60$104.60RVU15C
2015-04-01$104.08$104.08RVU15B
2015-01-01$104.08$104.08RVU15A
2014-10-01$103.66$103.66RVU14D
2014-07-01$103.66$103.66RVU14C
2014-04-01$103.66$103.66RVU14B
2014-01-01$103.66$103.66RVU14A
2013-10-01$100.77$100.77RVU13D
2013-07-01$100.77$100.77RVU13C
2013-04-01$100.77$100.77RVU13B
2013-01-01$100.77$100.77RVU13AR

Price 99316 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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