CPT code 99348: Home visit, established patient, low MDM or 30 minutes2026 Medicare rate & RVUs in South Carolina
Home or residence E/M visit for an established patient, selected by low medical decision making or at least 30 minutes of practitioner time that day.
In South Carolina, Medicare pays $76.47 for 99348 in the office.
Check a contract rate as a % of Medicare · 99348 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 99348 covers
This visit covers an established patient seen where they live: a private home, apartment, assisted living facility, group home, or another residence outside a skilled nursing or nursing facility. Physicians, nurse practitioners, and physician assistants in house-call, home-based primary care, and geriatric practices typically report it. They may assess an uncomplicated acute illness, review pertinent information, and discuss a low-risk treatment plan with the patient or caregiver. The diagnosis alone does not establish the visit level.
Select 99348 when at least two of the three medical decision-making elements—problems, data, and risk—support low MDM, or when total practitioner time on the visit date reaches at least 30 minutes. If a higher time threshold is met, select the level supported by that time instead. Travel to and from the residence does not count. Documentation should identify the residence setting, clinically appropriate history and exam, problems addressed, pertinent data, and management plan, or support the time reported. Medicare does not require the patient to be homebound for a practitioner home visit. The place of service code identifies the residence type.
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 South Carolina compares for 99348
Across 109 of 109 payment localities, the office rate for 99348 runs from $73.97 in Arkansas to $104.54 in Alaska. South Carolina pays $76.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$76.47
- Los Angeles, CA · California$84.92+$8.45
- Washington, DC area · District of Columbia$86.49+$10.02
- Miami, FL · Florida$83.48+$7.01
- Chicago, IL · Illinois$82.34+$5.87
- Manhattan, NY · New York$87.68+$11.21
- Alaska · Alaska$104.54+$28.07
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $74.51 | — |
| ArkansasArkansas | $73.97 | — |
| ArizonaArizona | $77.67 | — |
| Bakersfield, CACalifornia | $81.40 | — |
| Chico, CACalifornia | $81.13 | — |
| El Centro, CACalifornia | $81.14 | — |
| Fresno, CACalifornia | $81.13 | — |
| Hanford, CACalifornia | $81.13 | — |
| Madera, CACalifornia | $81.13 | — |
| Merced, CACalifornia | $81.13 | — |
| Modesto, CACalifornia | $81.13 | — |
| Napa, CACalifornia | $89.22 | — |
| Oxnard, CACalifornia | $84.15 | — |
| Redding, CACalifornia | $81.13 | — |
| Rest of CaliforniaCalifornia | $81.13 | — |
| Riverside, CACalifornia | $81.92 | — |
| Sacramento, CACalifornia | $83.85 | — |
| Salinas, CACalifornia | $83.49 | — |
| San Diego, CACalifornia | $84.43 | — |
| Marin County, CACalifornia | $93.14 | — |
| San Francisco, CACalifornia | $93.06 | — |
| San Benito County, CACalifornia | $94.92 | — |
| Santa Clara County, CACalifornia | $94.59 | — |
| San Luis Obispo, CACalifornia | $82.26 | — |
| Santa Cruz, CACalifornia | $84.47 | — |
| Santa Maria, CACalifornia | $83.52 | — |
| Santa Rosa, CACalifornia | $85.26 | — |
| Stockton, CACalifornia | $81.13 | — |
| Vallejo, CACalifornia | $89.11 | — |
| Visalia, CACalifornia | $81.13 | — |
| Yuba City, CACalifornia | $81.13 | — |
| ColoradoColorado | $80.60 | — |
| ConnecticutConnecticut | $82.35 | — |
| DelawareDelaware | $78.52 | — |
| Fort Lauderdale, FLFlorida | $81.06 | — |
| Rest of FloridaFlorida | $78.84 | — |
| Atlanta, GAGeorgia | $79.87 | — |
| Rest of GeorgiaGeorgia | $76.43 | — |
| Hawaii, Guam, HIHawaii | $81.46 | — |
| IowaIowa | $75.17 | — |
| IdahoIdaho | $75.48 | — |
| East St. Louis, ILIllinois | $79.09 | — |
| Rest of IllinoisIllinois | $77.85 | — |
| Suburban Chicago, ILIllinois | $81.69 | — |
| IndianaIndiana | $75.70 | — |
| KansasKansas | $75.13 | — |
| KentuckyKentucky | $75.70 | — |
| New Orleans, LALouisiana | $77.59 | — |
| Rest of LouisianaLouisiana | $75.69 | — |
| Metropolitan Boston, MAMassachusetts | $85.74 | — |
| Rest of MassachusettsMassachusetts | $80.55 | — |
| Baltimore area, MDMaryland | $82.11 | — |
| Rest of MarylandMaryland | $79.45 | — |
| Rest of MaineMaine | $75.83 | — |
| Southern Maine, MEMaine | $77.73 | — |
| Detroit, MIMichigan | $79.51 | — |
| Rest of MichiganMichigan | $76.83 | — |
| MinnesotaMinnesota | $77.95 | — |
| Metropolitan Kansas City, MOMissouri | $77.16 | — |
| Metropolitan St. Louis, MOMissouri | $77.56 | — |
| Rest of MissouriMissouri | $75.12 | — |
| MississippiMississippi | $74.55 | — |
| MontanaMontana | $78.82 | — |
| North CarolinaNorth Carolina | $76.21 | — |
| North DakotaNorth Dakota | $77.44 | — |
| NebraskaNebraska | $75.34 | — |
| New HampshireNew Hampshire | $79.62 | — |
| Northern New JerseyNew Jersey | $86.36 | — |
| Rest of New JerseyNew Jersey | $83.48 | — |
| New MexicoNew Mexico | $77.11 | — |
| NevadaNevada | $78.46 | — |
| NYC suburbs and Long Island, NYNew York | $89.02 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $84.08 | — |
| Queens, NYNew York | $87.87 | — |
| Rest of New YorkNew York | $76.81 | — |
| OhioOhio | $76.55 | — |
| OklahomaOklahoma | $75.48 | — |
| Portland, OROregon | $81.96 | — |
| Rest of OregonOregon | $78.03 | — |
| Metropolitan Philadelphia, PAPennsylvania | $81.26 | — |
| Rest of PennsylvaniaPennsylvania | $76.53 | — |
| Puerto RicoPuerto Rico | $79.08 | — |
| Rhode IslandRhode Island | $80.40 | — |
| South DakotaSouth Dakota | $77.27 | — |
| TennesseeTennessee | $75.34 | — |
| Austin, TXTexas | $80.19 | — |
| Beaumont, TXTexas | $76.29 | — |
| Brazoria, TXTexas | $78.48 | — |
| Dallas, TXTexas | $78.84 | — |
| Fort Worth, TXTexas | $78.61 | — |
| Galveston, TXTexas | $78.64 | — |
| Houston, TXTexas | $79.92 | — |
| Rest of TexasTexas | $77.25 | — |
| UtahUtah | $77.00 | — |
| VirginiaVirginia | $77.69 | — |
| Virgin Islands, VIUnited States Virgin Islands | $79.08 | — |
| VermontVermont | $77.41 | — |
| Rest of WashingtonWashington | $80.32 | — |
| King County, WAWashington | $86.89 | — |
| WisconsinWisconsin | $76.10 | — |
| West VirginiaWest Virginia | $76.38 | — |
| WyomingWyoming | $78.22 | — |
99348 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.
$73.97
$104.54
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 | $104.54 | 1 |
| AL | $74.51 | 1 |
| AR | $73.97 | 1 |
| AZ | $77.67 | 1 |
| CA | $81.13–$94.92 | 29 |
| CO | $80.60 | 1 |
| CT | $82.35 | 1 |
| DC | $86.49 | 1 |
| DE | $78.52 | 1 |
| FL | $78.84–$83.48 | 3 |
| GA | $76.43–$79.87 | 2 |
| GU | $81.46 | 1 |
| HI | $81.46 | 1 |
| IA | $75.17 | 1 |
| ID | $75.48 | 1 |
| IL | $77.85–$82.34 | 4 |
| IN | $75.70 | 1 |
| KS | $75.13 | 1 |
| KY | $75.70 | 1 |
| LA | $75.69–$77.59 | 2 |
| MA | $80.55–$85.74 | 2 |
| MD | $79.45–$86.49 | 3 |
| ME | $75.83–$77.73 | 2 |
| MI | $76.83–$79.51 | 2 |
| MN | $77.95 | 1 |
| MO | $75.12–$77.56 | 3 |
| MS | $74.55 | 1 |
| MT | $78.82 | 1 |
| NC | $76.21 | 1 |
| ND | $77.44 | 1 |
| NE | $75.34 | 1 |
| NH | $79.62 | 1 |
| NJ | $83.48–$86.36 | 2 |
| NM | $77.11 | 1 |
| NV | $78.46 | 1 |
| NY | $76.81–$89.02 | 5 |
| OH | $76.55 | 1 |
| OK | $75.48 | 1 |
| OR | $78.03–$81.96 | 2 |
| PA | $76.53–$81.26 | 2 |
| PR | $79.08 | 1 |
| RI | $80.40 | 1 |
| SC | $76.47 | 1 |
| SD | $77.27 | 1 |
| TN | $75.34 | 1 |
| TX | $76.29–$80.19 | 8 |
| UT | $77.00 | 1 |
| VA | $77.69–$86.49 | 2 |
| VI | $79.08 | 1 |
| VT | $77.41 | 1 |
| WA | $80.32–$86.89 | 2 |
| WI | $76.10 | 1 |
| WV | $76.38 | 1 |
| WY | $78.22 | 1 |
How the 99348 rate is calculated
Each of 99348’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 · 99348
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense0.79
0.79 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
2.3600
Conversion factor
$33.4009
Medicare rate
$78.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,059
- Code
- 99348
- Physician work
- 1.50
- Practice expense
- 0.79
- Malpractice
- 0.07
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.50 | × 1.000 | 1.5000 |
| Practice expense | 0.79 | × 0.924 | 0.7300 |
| Malpractice | 0.07 | × 0.850 | 0.0595 |
| Total RVUs | 2.2895 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Carolina$76.47
Office: (1.5 × 1 + 0.79 × 0.924 + 0.07 × 0.85) × $33.4009 = $76.47
Payment rules and modifiers for 99348
99348 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 · 99348
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$78.83
Higher because the practice carries its own overhead.
How 99348 has changed in South Carolina
99348 · Office / nonfacility
$76.47
Effective 2026-10-01
The base rate is $4.87 higher than on 2025-10-01, moving from $71.60 to $76.47 (6.8%).
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
$71.60changed to$76.47
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.71 changed to 0.79
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.913 changed to 0.924
- Malpractice GPCI 0.817 changed to 0.850
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$73.38changed to$71.60
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.70 changed to 0.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$72.18changed to$73.38
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$73.50changed to$72.18
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.67 changed to 0.70
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.756 changed to 0.817
January 1, 2023
RVU23A
$79.59changed to$73.50
- Conversion factor 34.6062 changed to 33.8872
- Work RVU 1.56 changed to 1.50
- Practice expense RVU 0.75 changed to 0.67
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.903 changed to 0.908
- Malpractice GPCI 0.695 changed to 0.756
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$80.25changed to$79.59
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$81.89changed to$80.25
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.72 changed to 0.75
- Practice expense GPCI 0.907 changed to 0.903
- Malpractice GPCI 0.624 changed to 0.695
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$81.42changed to$81.89
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.70 changed to 0.72
- Malpractice RVU 0.11 changed to 0.09
- Practice expense GPCI 0.912 changed to 0.907
- Malpractice GPCI 0.553 changed to 0.624
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$81.66changed to$81.42
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.71 changed to 0.70
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$81.73changed to$81.66
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.634 changed to 0.553
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$81.53changed to$81.73
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.70 changed to 0.71
- Malpractice GPCI 0.715 changed to 0.634
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$81.57changed to$81.53
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.10 changed to 0.11
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$81.16changed to$81.57
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$80.94changed to$81.16
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.911 changed to 0.912
- Malpractice GPCI 0.618 changed to 0.715
Held through RVU15B.
January 1, 2014
RVU14A
$78.35changed to$80.94
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.76 changed to 0.70
- Practice expense GPCI 0.909 changed to 0.911
- Malpractice GPCI 0.520 changed to 0.618
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $78.35
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $76.47 | Not available in this setting | RVU26D |
| 2026-07-01 | $76.47 | Not available in this setting | RVU26C |
| 2026-04-01 | $76.47 | Not available in this setting | RVU26B |
| 2026-01-01 | $76.47 | Not available in this setting | RVU26A |
| 2025-10-01 | $71.60 | Not available in this setting | RVU25D |
| 2025-07-01 | $71.60 | Not available in this setting | RVU25C |
| 2025-04-01 | $71.60 | Not available in this setting | RVU25B |
| 2025-01-01 | $71.60 | Not available in this setting | RVU25A |
| 2024-10-01 | $73.38 | Not available in this setting | RVU24D |
| 2024-07-01 | $73.38 | Not available in this setting | RVU24C |
| 2024-04-01 | $73.38 | Not available in this setting | RVU24B |
| 2024-03-09 | $73.38 | Not available in this setting | RVU24AR |
| 2024-01-01 | $72.18 | Not available in this setting | RVU24A |
| 2023-10-01 | $73.50 | Not available in this setting | RVU23D |
| 2023-07-01 | $73.50 | Not available in this setting | RVU23C |
| 2023-04-01 | $73.50 | Not available in this setting | RVU23B |
| 2023-01-01 | $73.50 | Not available in this setting | RVU23A |
| 2022-10-01 | $79.59 | Not available in this setting | RVU22D |
| 2022-07-01 | $79.59 | Not available in this setting | RVU22C |
| 2022-04-01 | $79.59 | Not available in this setting | RVU22B |
| 2022-01-01 | $79.59 | Not available in this setting | RVU22A |
| 2021-10-01 | $80.25 | Not available in this setting | RVU21D |
| 2021-07-01 | $80.25 | Not available in this setting | RVU21C |
| 2021-04-01 | $80.25 | Not available in this setting | RVU21B |
| 2021-01-01 | $80.25 | Not available in this setting | RVU21A |
| 2020-10-01 | $81.89 | Not available in this setting | RVU20D |
| 2020-07-01 | $81.89 | Not available in this setting | RVU20C |
| 2020-04-01 | $81.89 | Not available in this setting | RVU20B |
| 2020-01-01 | $81.89 | Not available in this setting | RVU20A |
| 2019-10-01 | $81.42 | Not available in this setting | RVU19D |
| 2019-07-01 | $81.42 | Not available in this setting | RVU19C |
| 2019-04-01 | $81.42 | Not available in this setting | RVU19B |
| 2019-01-01 | $81.42 | Not available in this setting | RVU19A |
| 2018-10-01 | $81.66 | Not available in this setting | RVU18D |
| 2018-07-01 | $81.66 | Not available in this setting | RVU18C |
| 2018-04-01 | $81.66 | Not available in this setting | RVU18B |
| 2018-01-01 | $81.66 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $81.73 | Not available in this setting | RVU17D |
| 2017-07-01 | $81.73 | Not available in this setting | RVU17C |
| 2017-04-01 | $81.73 | Not available in this setting | RVU17B |
| 2017-01-01 | $81.73 | Not available in this setting | RVU17A |
| 2016-10-01 | $81.53 | Not available in this setting | RVU16D |
| 2016-07-01 | $81.53 | Not available in this setting | RVU16C |
| 2016-04-01 | $81.53 | Not available in this setting | RVU16B |
| 2016-01-01 | $81.53 | Not available in this setting | RVU16A |
| 2015-10-01 | $81.57 | Not available in this setting | RVU15D |
| 2015-07-01 | $81.57 | Not available in this setting | RVU15C |
| 2015-04-01 | $81.16 | Not available in this setting | RVU15B |
| 2015-01-01 | $81.16 | Not available in this setting | RVU15A |
| 2014-10-01 | $80.94 | Not available in this setting | RVU14D |
| 2014-07-01 | $80.94 | Not available in this setting | RVU14C |
| 2014-04-01 | $80.94 | Not available in this setting | RVU14B |
| 2014-01-01 | $80.94 | Not available in this setting | RVU14A |
| 2013-10-01 | $78.35 | Not available in this setting | RVU13D |
| 2013-07-01 | $78.35 | Not available in this setting | RVU13C |
| 2013-04-01 | $78.35 | Not available in this setting | RVU13B |
| 2013-01-01 | $78.35 | Not available in this setting | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
99348 billing questions
When should 99348 be chosen over 99349?
Choose 99348 for low MDM or at least 30 minutes when selecting by time. Choose 99349 for moderate MDM or at least 40 minutes; moderate MDM requires two qualifying moderate elements.
Can this code be used for patients living in assisted living facilities?
Yes. Visits in assisted living, group homes, and similar residences are reported with the home or residence E/M series, using the appropriate place of service.
Does travel time count toward the 30 minutes?
No. Count the reporting practitioner's qualifying time spent on the patient's care on the visit date, such as reviewing records, examining, counseling, ordering, and documenting. Exclude time driving to or from the residence.
Can 99348 be reported for a resident of a skilled nursing or nursing facility?
No. Use the appropriate nursing facility E/M code, such as a subsequent nursing facility visit code from 99307-99310, rather than the home or residence series.
What makes a patient established for this code?
The patient received professional services within the past three years from the same practitioner or another practitioner of the same specialty and subspecialty in the same group. Otherwise, consider a new-patient home visit code such as 99342 when its level criteria are met.
What documentation supports low medical decision making?
Document the problems addressed, any data reviewed or analyzed, and management decisions so that at least two of the three MDM elements support the low level. A diagnosis by itself does not establish low MDM.
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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