CPT code 99380: Facility supervision, 30 minutes or more monthly2026 Medicare rate & RVUs in Washington

CMS doesn’t publish an office rate for 99380 in Washington.

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

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 Washington

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.

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.

99380 compared with similar codes

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.

Codes related to 99380

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