$134.25
99214 is a moderate-level established patient office or outpatient visit. For a subsequent visit while the patient is receiving hospital inpatient or observation care, use 99232 when its MDM or time requirement is met.
On this page
CMS RVU26D · Effective 2026-10-01
99232 Subsequent hospital visit Medicare reimbursement rates in Minnesota
Report a subsequent inpatient or observation visit when the practitioner's follow-up care meets moderate medical decision making or at least 35 minutes of total time. Compare 99232 office and facility rates across CMS payment localities in Minnesota.
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 99232 in Minnesota?
Minnesota 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
$68.04
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 99232: Subsequent hospital inpatient or observation visit, moderate complexity
Report a subsequent inpatient or observation visit when the practitioner's follow-up care meets moderate medical decision making or at least 35 minutes of total time.
A physician or qualified nonphysician practitioner reports this level when following a patient receiving hospital inpatient or observation care. Hospitalists, internists, cardiologists, and nephrologists may use it while managing conditions such as heart failure, pneumonia, or acute kidney injury. The condition alone does not determine the level; the documented work must support moderate medical decision making (MDM), or the practitioner must meet the time requirement. Medicare reports this code predominantly in the facility setting.
Select 99232 by moderate MDM or at least 35 minutes of the billing practitioner's total time on the date of service, including qualifying work away from the unit. When selecting by MDM, document the problems addressed, data reviewed or analyzed, and management risk; at least two MDM elements must reach the moderate level. When selecting by time, document the total time. Practitioners in the same specialty and group generally report one hospital E/M visit per patient per day. For a split or shared visit by a physician and nonphysician practitioner in the same group, the practitioner who performed the substantive portion bills with modifier FS.
Where the value comes from
- Work RVU1.59 · 75%
- Practice expense (office) RVU0.40 · 19%
- Malpractice RVU0.12 · 6%
34.7M
Medicare services in 2024 · #6 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.
99232 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
99222 covers initial hospital care at moderate MDM or at least 55 minutes. 99232 applies to subsequent care after that practitioner or same-specialty group has provided initial hospital care.
No office rate
Both describe subsequent hospital care. Use 99233 for high MDM or at least 50 minutes; use 99232 for moderate MDM or at least 35 minutes.
99254
No office rateIp/obs cnsltj new/est mod 60
99254 describes a moderate-level inpatient or observation consultation for payers that recognize consultation codes. Medicare does not pay consultation codes; select subsequent hospital care by the documented MDM or time for a follow-up visit.
Compare 99232 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$68.04
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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 99232 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
13,022
- Code
- 99232
- Physician work
- 1.59
- Practice expense
- 0.40
- Malpractice
- 0.12
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.59 | × 1.000 | 1.5900 |
| Practice expense | 0.40 | × 1.029 | 0.4116 |
| Malpractice | 0.12 | × 0.296 | 0.0355 |
| Total RVUs | 2.0371 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$68.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 0.4 | 1.029 |
| Malpractice | 0.12 | 0.296 |
(1.59 × 1 + 0.4 × 1.029 + 0.12 × 0.296) × $33.4009 = $68.04
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.
99232 billing questions
How do I choose 99232 over 99231 or 99233?
Select the level supported by MDM or total time: 99231 for straightforward or low MDM or at least 25 minutes, 99232 for moderate MDM or at least 35 minutes, and 99233 for high MDM or at least 50 minutes. When selecting by time, report the highest level whose minimum is met.
Can 99232 be reported for an observation patient?
Yes. Subsequent hospital care codes cover both inpatient and observation status; the former separate subsequent observation codes were deleted.
What time counts toward the 35 minutes?
Count the billing practitioner's time on the date of service for work such as chart review, examination, medically appropriate family discussion, orders, care coordination, and documentation. Exclude clinical staff time and time spent on separately reported services.
Can prolonged services be added to 99232?
No. Among subsequent hospital care levels, prolonged time is reported only with 99233 when the applicable requirements are met. Select 99233 first if the documented time supports it.
How does a specialist report Medicare hospital follow-up visits?
Medicare does not pay inpatient consultation codes. After the specialist's initial hospital care visit, select 99231–99233 for follow-up care; use 99232 when moderate MDM or at least 35 minutes supports it.
Can 99232 be billed on the patient's discharge date?
A practitioner performing discharge-day management reports 99238 or 99239 instead of a subsequent care visit. A different specialist may report 99232 for a separate, medically necessary follow-up visit on that date.
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.
13,01999222,,1st hosp ip/obs moderate 55,A,,2.60,0.67,NA,0.67,,0.23,3.50,3.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02099223,,1st hosp ip/obs high 75,A,,3.50,0.90,NA,0.90,,0.28,4.68,4.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02199231,,Sbsq hosp ip/obs sf/low 25,A,,1.00,0.24,NA,0.24,,0.08,1.32,1.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02299232,,Sbsq hosp ip/obs moderate 35,A,,1.59,0.40,NA,0.40,,0.12,2.11,2.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02399233,,Sbsq hosp ip/obs high 50,A,,2.40,0.62,NA,0.62,,0.18,3.20,3.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02499234,,Hosp ip/obs sm dt sf/low 45,A,,2.00,0.46,NA,0.46,,0.18,2.64,2.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02599235,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002