CPT code 99380: Facility supervision, 30 minutes or more monthly2026 Medicare rate & RVUs in Louisiana
Physician nursing-facility care supervision reported for 30 minutes or more of qualifying oversight work during a calendar month.
CMS doesn’t publish an office rate for 99380 in Louisiana.
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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On this page 9 sections
What 99380 covers
CPT 99380 identifies physician care-plan oversight for a patient receiving care in a nursing facility. The physician performs supervision and coordination work outside a face-to-face visit with the resident, addressing the patient’s ongoing care during the month. It is distinct from an in-person nursing-facility evaluation and management service; the code is selected for nursing-facility care oversight rather than home-health or hospice oversight.
The code represents 30 minutes or more of qualifying work in a calendar month; 99379 is the shorter-time nursing-facility sibling. Medicare assigns 99380 physician fee schedule status B, so Medicare never pays it separately and includes its payment in payment for other services. Report the monthly service based on the time spent on nursing-facility care supervision. The code belongs to CPT Category I.
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 99380 pays more and less in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | Unavailable | Unavailable |
| Rest of Louisiana | Unavailable | Unavailable |
How the 99380 rate is calculated
Each of 99380’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 · 99380
RVUs × geographic indexes × conversion factor
Work1.73
1.73 RVUs× 1.000 GPCI
Practice expense1.32
1.32 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
3.1600
Conversion factor
$33.4009
Medicare rate
$105.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99380
99380 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 · 99380
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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99380 isn’t priced in this setting.
99380 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99379Nursing facility oversight15-29 minutes monthly
- Both concern nursing-facility care supervision. Choose 99380 for 30 minutes or more of qualifying work in the calendar month; 99379 is the shorter-time code.
- 99375Home health supervision30 minutes or more
- 99375 identifies home-health care supervision, while 99380 identifies nursing-facility care supervision. The care setting distinguishes the services.
- 99378Hospice oversight30 minutes or more
- 99378 identifies hospice care supervision, while 99380 identifies nursing-facility care supervision. The care setting distinguishes the services.
99380 billing questions
How is 99380 distinguished from 99379?
Both identify nursing-facility care supervision. 99380 represents 30 minutes or more of qualifying work in a calendar month; 99379 is the shorter-time sibling.
Does the resident need to be present?
No. 99380 describes care supervision performed outside a face-to-face visit with the resident.
What time period does 99380 cover?
It represents 30 minutes or more of qualifying nursing-facility care supervision in a calendar month.
Can a modifier make 99380 separately payable by Medicare?
Medicare status B means Medicare never pays this code separately; its payment is included in payment for other services.
How does 99380 differ from home-health or hospice supervision codes?
99380 identifies nursing-facility care supervision. Home-health and hospice supervision codes apply to oversight in those respective care settings.
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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