No office rate
Both cover hospital inpatient or observation discharge management. Use 99238 for 30 minutes or less, or when time is not documented; 99239 requires documented time exceeding 30 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99239 Hospital discharge day Medicare reimbursement rates in Connecticut
Discharge day management for a hospital inpatient or observation patient when the responsible physician or qualified practitioner spends more than 30 minutes on discharge work that day. Compare 99239 office and facility rates across CMS payment localities in Connecticut.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99239 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$111.37
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Evaluation and management
About 99239: Hospital inpatient or observation discharge, over 30 minutes
Discharge day management for a hospital inpatient or observation patient when the responsible physician or qualified practitioner spends more than 30 minutes on discharge work that day.
This service covers the responsible clinician’s work on the day a patient leaves hospital inpatient or observation care after a stay spanning more than one calendar date. It can include a final examination, discussion of the hospital course with the patient and family, medication reconciliation and prescriptions, instructions for continuing care, coordination with home health, skilled nursing, or follow-up clinicians, and preparation of the discharge summary. Hospitalists, attending internists, family physicians, nurse practitioners, and physician assistants commonly perform this work.
Select 99239 when documented discharge management time on that date exceeds 30 minutes; the work need not be continuous. Record the total minutes and the discharge activities performed. Use 99238 when discharge management takes 30 minutes or less or the time is not documented. The responsible discharging clinician reports the discharge service. A clinician providing a separate, medically necessary hospital visit on the discharge date reports the appropriate hospital E/M code for that encounter, rather than another discharge service.
Where the value comes from
- Work RVU2.15 · 67%
- Practice expense (office) RVU0.88 · 28%
- Malpractice RVU0.16 · 5%
5.4M
Medicare services in 2024 · #41 by national volume
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.
99239 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
99236 covers an eligible same-date admission and discharge selected by high medical decision making or qualifying time. Use 99239 for discharge management after a stay spanning more than one date.
No office rate
99233 describes a high-level subsequent hospital visit. The clinician responsible for discharge instead reports the discharge management code for that day.
$144.92
99316 covers discharge management exceeding 30 minutes for a nursing facility patient; 99239 covers hospital inpatient or observation discharge.
Compare 99239 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$111.37
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99239 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
13,028
- Code
- 99239
- Physician work
- 2.15
- Practice expense
- 0.88
- Malpractice
- 0.16
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.15 | × 1.020 | 2.1930 |
| Practice expense | 0.88 | × 1.077 | 0.9478 |
| Malpractice | 0.16 | × 1.210 | 0.1936 |
| Total RVUs | 3.3344 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$111.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.15 | 1.02 |
| Practice expense | 0.88 | 1.077 |
| Malpractice | 0.16 | 1.21 |
(2.15 × 1.02 + 0.88 × 1.077 + 0.16 × 1.21) × $33.4009 = $111.37
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
99239 billing questions
How is 99239 chosen over 99238?
The choice depends on documented discharge management time on that date. More than 30 minutes supports 99239; 30 minutes or less, or no documented time, supports 99238.
What activities count toward the discharge time?
Work on the discharge date can include the final exam, counseling the patient and family, reconciling medications, writing prescriptions and instructions, arranging post-discharge care, and completing the discharge summary. The minutes need not be continuous.
Can 99239 be billed when the patient is admitted and discharged on the same date?
No. For a same-date admission and discharge lasting at least eight hours, Medicare uses 99234–99236; a shorter stay is reported with an initial hospital inpatient or observation care code.
Can a consultant or second clinician bill a discharge code on the same day?
The clinician responsible for discharge reports 99238 or 99239. Another clinician who performs a separate, medically necessary visit may report the appropriate hospital E/M code for that encounter, subject to same-specialty, same-group billing rules.
Is a separate code needed for discharge from observation status?
No. For observation care spanning more than one calendar date, use 99238 or 99239 for discharge management based on documented time.
What documentation best supports this level?
Document total discharge management time exceeding 30 minutes on the discharge date and describe the work performed, such as counseling, medication reconciliation, and care coordination.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,02599235,,Hosp ip/obs same date mod 70,A,,3.24,0.79,NA,0.79,,0.25,4.28,4.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02699236,,Hosp ip/obs same date hi 85,A,,4.30,1.02,NA,1.02,,0.36,5.68,5.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02799238,,Hosp ip/obs dschrg mgmt 30/<,A,,1.50,0.62,NA,0.62,,0.12,2.24,2.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02899239,,Hosp ip/obs dschrg mgmt >30,A,,2.15,0.88,NA,0.88,,0.16,3.19,3.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02999242,,Off/op consltj new/est sf 20,I,+,1.08,1.10,,0.51,,0.07,2.25,1.66,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,03099243,,Off/op cnsltj new/est low 30,I,+,1.80,1.46,,0.71,,0.11,3.37,2.62,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,03199244,,Off/op cnsltj new/est mod 40,I,+,2.69,1.96,,1.14,,0.17,4.82,4.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808