$135.78–$152.17
Both codes cover nursing facility discharge management. Use 99315 for 30 minutes or less and 99316 when total time exceeds 30 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99315 Discharge management Medicare reimbursement rates in Virginia
Reports nursing facility discharge management when a physician or qualified health care professional spends 30 minutes or less on discharge-day services. Compare 99315 office and facility rates across CMS payment localities in Virginia.
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 99315 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$84.40–$94.71
2 of 2 localities have a supported rate.
Facility setting
$71.92–$79.76
2 of 2 localities have a supported rate.
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.
Nursing facility care
About 99315: Nursing facility discharge management, 30 minutes or less
Reports nursing facility discharge management when a physician or qualified health care professional spends 30 minutes or less on discharge-day services.
This service covers the clinician’s work to complete a patient’s discharge from a nursing facility. It can include a final examination, discussion of the facility stay, instructions for care after discharge, and preparation of discharge records, prescriptions, or referral forms. Physicians and other qualified health care professionals commonly perform this work when a resident leaves for home or moves to another care setting.
Select this code when the total time spent on discharge management is 30 minutes or less; use 99316 when the time exceeds 30 minutes. Documentation should identify the discharge and describe the clinician’s discharge-related work and time. Routine nursing facility evaluation and management, such as an ongoing assessment of a resident who is not being discharged, is reported with the applicable nursing facility care code rather than this discharge service.
Where the value comes from
- Work RVU1.50 · 58%
- Practice expense (office) RVU0.98 · 38%
- Malpractice RVU0.09 · 4%
145.9K
Medicare services in 2024 · #458 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.
99315 compared with similar codes
Office rates for Virginia, from the same CMS release.
$41.30–$46.57
99307 is for subsequent nursing facility care during an ongoing stay. Use 99315 for discharge-day management when total time is 30 minutes or less.
$112.41–$126.70
99309 reports subsequent nursing facility care selected by medical decision making or time; 99315 reports discharge management based on total time.
Compare 99315 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$94.71
Facility
$79.76
Virginia →
Office / nonfacility
$84.40
Facility
$71.92
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99315 billing questions
How is 99315 distinguished from 99316?
Choose 99315 for discharge management totaling 30 minutes or less. Choose 99316 when the total time exceeds 30 minutes.
What work can be included in discharge management?
The service can include a final examination, discussion of the stay, post-discharge instructions, and preparation of records, prescriptions, or referral forms.
Should this code be used for a routine nursing facility visit?
No. For an ongoing nursing facility assessment when the resident is not being discharged, select the appropriate nursing facility care code.
What should the record support?
Document that the patient was discharged, the discharge-related work performed, and the total time spent on that work.
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.
13,04999308,,Sbsq nf care low mdm 20,A,,1.30,0.98,,0.65,,0.08,2.36,2.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,05099309,,Sbsq nf care moderate mdm 30,A,,1.92,1.37,,0.89,,0.14,3.43,2.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,05199310,,Sbsq nf care high mdm 45,A,,2.80,1.88,,1.19,,0.21,4.89,4.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,05299315,,Nf dschrg mgmt 30 min/less,A,,1.50,0.98,,0.60,,0.09,2.57,2.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,05399316,,Nf dschrg mgmt 30 min+,A,,2.50,1.47,,0.85,,0.17,4.14,3.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,05499341,,Home/res vst new sf mdm 15,A,,1.00,0.43,,0.43,NA,0.04,1.47,1.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,05599342,,Home/res vst new low mdm 30,A,,1.65,0.64,,0.64,NA,0.07,2.36,2.36,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00