Billing code 99345: Home visitMedicare rate & RVUs in Alaska
Report for a new patient’s high-complexity evaluation in a home or residence, supported by high medical decision making or at least 75 minutes.
Medicare pays $275.83 for 99345 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
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 9 sections
What 99345 covers
This service covers a comprehensive evaluation and management visit for a new patient seen in a private home or another residence, such as an assisted-living setting. A physician or qualified health care professional may address serious or worsening conditions, review relevant records and test results, and make high-risk treatment decisions. The code is for a patient meeting the billing code new-patient definition for the physician or qualified professional’s specialty and group.
Select this level when medical decision making is high, or when the practitioner’s total qualifying time on the date of service reaches at least 75 minutes. For high medical decision making, the documentation should support the complexity of the problems addressed, the data reviewed or analyzed, and the risk of management decisions. Record the residence, clinical assessment, decisions, and any qualifying time used to select the level. Do not include staff time or time spent on separately reported services in the E/M time total.
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.
99345 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $275.83 | Unavailable |
How the 99345 rate is calculated
Each of 99345’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 · 99345
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.88Practice expense 2.16Malpractice 0.25
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 99345
99345 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 · 99345
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$210.09
Only one setting is priced for this code.
99345 compared with similar codes
Compare codes
99345 vs 99344 vs 99350 vs 99310: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 99344Home visit
- Both are new-patient home or residence visits; 99345 requires high medical decision making or at least 75 minutes, while 99344 represents the lower moderate-complexity level.
- 99350Home visit
- 99350 is for an established patient receiving a high-complexity home or residence visit. Use 99345 only when the patient meets the new-patient definition.
- 99310Nursing facility visit
- 99310 is a subsequent nursing-facility care code. 99345 is for a new-patient E/M encounter in a home or residence.
99345 billing questions
When should 99345 be chosen instead of 99344?
Choose 99345 when the encounter supports high medical decision making or at least 75 minutes of qualifying practitioner time. Use 99344 for the lower, moderate-complexity new-patient level.
Does the visit have to meet both high MDM and 75 minutes?
No. The level may be selected by high medical decision making or by meeting the 75-minute time threshold.
Can 99345 be reported for an established patient?
No. For an established patient seen in a home or residence, choose the code in the established-patient series that matches the documented level.
Is a nursing-facility visit reported with 99345?
No. 99345 is for a home or residence visit; nursing-facility E/M services use the nursing-facility code family.
What documentation supports the 75-minute basis?
Document the practitioner’s total qualifying time on the date of service and the work performed. Exclude staff time and time attributable to separately reported services.
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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