Billing code 99348: Home visitMedicare rate & RVUs

Medicare pays $78.83 for 99348 nationally in the office. Local office rates run $73.97–$104.54.

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

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.

Where 99348 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99348 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

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.

99348 compared with similar codes

How to choose

99347Home visit

99347 fits straightforward MDM or at least 20 minutes. Choose 99348 for low MDM supported by two qualifying elements or at least 30 minutes when selecting by time.

99349Home visit

99349 requires moderate MDM or at least 40 minutes. Two stable chronic illnesses or prescription drug management each support one moderate MDM element; a second moderate element is needed to select 99349 by MDM.

99342Home visit

99342 has the same low-MDM level and 30-minute minimum but is for new patients under the three-year rule for practitioners of the same specialty and subspecialty in the same group.

99308Nursing facility visit

99308 applies to a subsequent visit for a patient in a skilled nursing or nursing facility. 99348 applies to homes, assisted living, and other non-nursing-facility residences.

Codes related to 99348

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