CPT code 99379: Nursing facility oversight, 15-29 minutes monthly2026 Medicare rate & RVUs in Massachusetts
Reports 15-29 minutes of physician oversight in a calendar month for a nursing facility patient whose care requires complex, coordinated management.
CMS doesn’t publish an office rate for 99379 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 99379 covers
This code describes monthly oversight of a nursing facility patient whose care involves complex, multidisciplinary services. The physician reviews reports and relevant test results, communicates with members of the care team or family about assessment and care decisions, incorporates new information into the treatment plan, and adjusts management as needed. The work is care coordination rather than a face-to-face nursing facility visit, and it is reported by the physician providing the oversight.
The time threshold is 15 through 29 minutes of qualifying oversight during a calendar month. Medicare assigns this code physician fee schedule status B: it is bundled, and Medicare never pays it separately because its payment is included in payment for other services.
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 99379 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
How the 99379 rate is calculated
Each of 99379’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 · 99379
RVUs × geographic indexes × conversion factor
Work1.10
1.10 RVUs× 1.000 GPCI
Practice expense0.95
0.95 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
2.1200
Conversion factor
$33.4009
Medicare rate
$70.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99379
99379 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 · 99379
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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99379 isn’t priced in this setting.
99379 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99380Facility supervision30 minutes or more monthly
- Both codes concern nursing facility care plan oversight. Choose 99379 for 15-29 minutes in the calendar month and 99380 for 30 minutes or more.
- 99374Home health supervision15–29 minutes monthly
- 99374 concerns home health care supervision, not oversight of a nursing facility patient; both use a 15-29-minute monthly threshold.
- 99377Hospice supervision15-29 minutes monthly
- 99377 concerns hospice care supervision. Use 99379 for nursing facility oversight and 99377 for hospice oversight.
99379 billing questions
When should 99379 be chosen instead of 99380?
Use 99379 for 15-29 minutes of qualifying nursing facility oversight in the calendar month. Code 99380 is the sibling for 30 minutes or more.
Does Medicare pay 99379 separately?
No. Medicare assigns status B, meaning the service is bundled and never paid separately; its payment is included in payment for other services.
What work and time should the record support?
Document the nursing facility care coordination performed, such as reviewing status reports or studies, communicating about care decisions, and updating management. The qualifying work must total 15-29 minutes during the calendar month.
Is 99379 a face-to-face nursing facility visit?
No. It represents monthly care plan oversight and coordination, not an in-person nursing facility evaluation and management visit.
How does 99379 differ from home health or hospice oversight?
99379 is for oversight of a nursing facility patient. Codes 99374-99375 concern home health care, while 99377-99378 concern hospice care.
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
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