CPT code 99347: Home visit, established patient, straightforward MDM2026 Medicare rate & RVUs in Alabama

Established-patient home or residence E/M for a straightforward problem, reported when documented decision-making or at least 20 minutes of clinician time supports this level.

CMS RVU26DEffective Oct 1, 2026One payment locality509.1K Medicare services in 2024

In Alabama, Medicare pays $43.68 for 99347 in the office.

$43.68Office (non-facility)
Not available in this settingHospital or facility
−5.2%vs the national office rate ($46.09)

Check a contract rate as a % of Medicare · 99347 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 99347 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 99347 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 99347 covers

99347 is for an E/M encounter with an established patient in a home or residence. A physician or other qualified health care professional assesses the patient’s concern, evaluates relevant history and findings, and develops or updates a straightforward care plan. The setting may be a private home or another residence, such as an assisted living facility or group home. This is not the nursing-facility E/M service family.

Select the level by medical decision-making or, when using time, the clinician’s total time on the date of the encounter. The record should support straightforward MDM, or document at least 20 minutes when time determines the level. Include the patient’s relevant problem, assessment, and plan, and make clear that the service occurred in the home or residence. Report one E/M service for the encounter rather than treating the time threshold as a unit count.

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 Alabama compares for 99347

Across 109 of 109 payment localities, the office rate for 99347 runs from $43.37 in Arkansas to $61.48 in Alaska. Alabama pays $43.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

99347 in Alabama vs other payment areas
  1. Alabama · this page$43.68
  2. Los Angeles, CA · California$49.57+$5.89
  3. Washington, DC area · District of Columbia$50.48+$6.80
  4. Miami, FL · Florida$48.74+$5.06
  5. Chicago, IL · Illinois$48.11+$4.43
  6. Manhattan, NY · New York$51.18+$7.50
  7. Alaska · Alaska$61.48+$17.80

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

Every other payment area

99347 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$43.37—
ArizonaArizona$45.45—
Bakersfield, CACalifornia$47.55—
Chico, CACalifornia$47.40—
El Centro, CACalifornia$47.40—
Fresno, CACalifornia$47.40—
Hanford, CACalifornia$47.40—
Madera, CACalifornia$47.40—

99347 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.

$43.37

$61.48

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99347 office rate range by state
State / territoryOffice rate rangeLocalities
AK$61.481
AL$43.681
AR$43.371
AZ$45.451
CA$47.40–$55.2829
CO$47.101
CT$48.111
DC$50.481
DE$45.931
FL$46.12–$48.743
GA$44.76–$46.692
GU$47.541
HI$47.541
IA$44.041
ID$44.211
IL$45.57–$48.114
IN$44.331
KS$44.021
KY$44.351
LA$44.35–$45.412
MA$47.08–$50.032
MD$46.46–$50.483
ME$44.41–$45.472
MI$44.99–$46.502
MN$45.581
MO$44.03–$45.393
MS$43.701
MT$46.091
NC$44.631
ND$45.301
NE$44.131
NH$46.531
NJ$48.78–$50.432
NM$45.141
NV$45.881
NY$44.96–$51.945
OH$44.831
OK$44.221
OR$45.64–$47.862
PA$44.81–$47.492
PR$46.231
RI$47.011
SC$44.781
SD$45.211
TN$44.141
TX$44.68–$46.858
UT$45.081
VA$45.45–$50.482
VI$46.231
VT$45.291
WA$46.94–$50.692
WI$44.551
WV$44.741
WY$45.751

See 99347 in every payment locality

How the 99347 rate is calculated

Each of 99347’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 · 99347

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.90

0.90 RVUs× 1.000 GPCI

Practice expense0.44

0.44 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.3800

Conversion factor

$33.4009

Medicare rate

$46.09

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,058

Code
99347
Physician work
0.90
Practice expense
0.44
Malpractice
0.04

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 99347 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.90× 1.0000.9000
Practice expense0.44× 0.8750.3850
Malpractice0.04× 0.5660.0226
Total RVUs1.3076
Conversion factor× 33.4009

Office rate, Alabama$43.68

Office: (0.9 × 1 + 0.44 × 0.875 + 0.04 × 0.566) × $33.4009 = $43.68

Open 99347 in the RVU calculator

Payment rules and modifiers for 99347

99347 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 · 99347

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$46.09

Higher because the practice carries its own overhead.

How 99347 has changed in Alabama

99347 · Office / nonfacility

$43.68

Effective 2026-10-01

The base rate is $2.30 higher than on 2025-10-01, moving from $41.38 to $43.68 (5.6%).

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

    $41.38changed to$43.68

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.41 changed to 0.44
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $42.49changed to$41.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.40 changed to 0.41
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $41.79changed to$42.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $42.82changed to$41.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.38 changed to 0.40
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $52.49changed to$42.82

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 1.00 changed to 0.90
    • Practice expense RVU 0.53 changed to 0.38
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $52.61changed to$52.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.52 changed to 0.53

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $53.09changed to$52.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.49 changed to 0.52
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $53.00changed to$53.09

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.05
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $52.94changed to$53.00

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$52.94

    Held through RVU18C, RVU18D.

  11. 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$43.68Not available in this settingRVU26D
2026-07-01$43.68Not available in this settingRVU26C
2026-04-01$43.68Not available in this settingRVU26B
2026-01-01$43.68Not available in this settingRVU26A
2025-10-01$41.38Not available in this settingRVU25D
2025-07-01$41.38Not available in this settingRVU25C
2025-04-01$41.38Not available in this settingRVU25B
2025-01-01$41.38Not available in this settingRVU25A
2024-10-01$42.49Not available in this settingRVU24D
2024-07-01$42.49Not available in this settingRVU24C
2024-04-01$42.49Not available in this settingRVU24B
2024-03-09$42.49Not available in this settingRVU24AR
2024-01-01$41.79Not available in this settingRVU24A
2023-10-01$42.82Not available in this settingRVU23D
2023-07-01$42.82Not available in this settingRVU23C
2023-04-01$42.82Not available in this settingRVU23B
2023-01-01$42.82Not available in this settingRVU23A
2022-10-01$52.49Not available in this settingRVU22D
2022-07-01$52.49Not available in this settingRVU22C
2022-04-01$52.49Not available in this settingRVU22B
2022-01-01$52.49Not available in this settingRVU22A
2021-10-01$52.61Not available in this settingRVU21D
2021-07-01$52.61Not available in this settingRVU21C
2021-04-01$52.61Not available in this settingRVU21B
2021-01-01$52.61Not available in this settingRVU21A
2020-10-01$53.09Not available in this settingRVU20D
2020-07-01$53.09Not available in this settingRVU20C
2020-04-01$53.09Not available in this settingRVU20B
2020-01-01$53.09Not available in this settingRVU20A
2019-10-01$53.00Not available in this settingRVU19D
2019-07-01$53.00Not available in this settingRVU19C
2019-04-01$53.00Not available in this settingRVU19B
2019-01-01$53.00Not available in this settingRVU19A
2018-10-01$52.94Not available in this settingRVU18D
2018-07-01$52.94Not available in this settingRVU18C
2018-04-01$52.94Not available in this settingRVU18B
2018-01-01Rate data unavailableNot available in this settingRVU18AR1
2017-10-01Rate data unavailableNot available in this settingRVU17D
2017-07-01Rate data unavailableNot available in this settingRVU17C
2017-04-01Rate data unavailableNot available in this settingRVU17B
2017-01-01Rate data unavailableNot available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 99347 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

99347 billing questions

How does 99347 differ from 99348?

99347 represents straightforward MDM or at least 20 minutes when selected by time. Use 99348 for low MDM or at least 30 minutes.

Can time determine the code instead of MDM?

Yes. When selecting by time, the clinician must document at least 20 minutes on the date of the encounter; there is no upper time limit for this level.

Can this code be used for an assisted living visit?

Yes, when the encounter is an E/M service in the patient’s residence and the patient is established. A nursing-facility E/M encounter belongs to a different service family.

How is 99347 different from 99341?

Both represent straightforward MDM, but 99347 is for an established patient and 99341 is for a new patient. Their time thresholds also differ.

When might modifier 25 be reported with 99347?

Append modifier 25 when a separately identifiable E/M service is performed on the same date as a procedure and the documentation supports both services.

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 99347PPRRVU2026_Oct_nonQPP.csv, line 13,058 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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