CPT code 99341: Home visit, new patient, straightforward MDM2026 Medicare rate & RVUs

Medicare pays $49.10 for 99341 nationally in the office. Local office rates run $46.43–$66.13.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99341 covers

A physician or other qualified health professional reports this evaluation and management service for a new patient seen in a private home or another residence, such as an assisted living facility or group home. The encounter addresses the patient's health needs at that location; the service is not an initial nursing facility visit. The clinician performs a medically appropriate history and/or examination as indicated by the problem.

Select this code when medical decision making is straightforward, or when using time for code selection, the clinician documents at least 15 minutes of qualifying total time on the encounter date. The patient must meet the new-patient definition: no professional service in the preceding three years from the clinician or another clinician of the same specialty and subspecialty in the same group. The record should support the residence setting, new-patient status, assessment and plan, and the MDM or time basis for the level.

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.

Where 99341 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99341 rates by state

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

How the 99341 rate is calculated

Each of 99341’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.

Payment rules and modifiers for 99341

99341 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.

99341 compared with similar codes

How to choose

99342Home visitNew patient, low MDM

Both are new-patient home or residence visits. 99341 is for straightforward MDM or its lower time level; 99342 is for low MDM or its higher time threshold.

99347Home visitEstablished patient, straightforward MDM

99347 is for an established patient in a home or residence. Use 99341 only when the patient meets the new-patient definition.

99305Nursing facility visitInitial visit, moderate MDM

99305 is initial nursing facility care with moderate MDM, not an evaluation in a patient's home or residence.

Codes related to 99341

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

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

Open CMS sourceHow we calculate rates