# CPT 99316

> Medicare paid $107.31 for CPT 99316 in the office (non-facility) setting and $107.31 in a facility under the Q2 2017 Physician Fee Schedule, effective April 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 0.6%.

## What it is

The wrap-up work a clinician does on the day a resident leaves a nursing facility: a final examination, a conversation with the patient and family about what happens next, final prescriptions, written instructions, and arranging follow-up care or referrals. This is the longer of the two discharge codes, used when that work runs beyond about half an hour; the shorter version covers everything done in less time.

## Selected release

- Release: Q2 2017 (2017 B)
- Effective: April 1 – June 30, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $107.31
- Facility national allowed amount: $107.31
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.90
- Office (non-facility) practice expense RVU: 0.96
- Facility practice expense RVU: 0.96
- Malpractice RVU: 0.13
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17b.zip
- Parsed file: PPRRVU17_V0209.csv, row 16,365
- Canonical page: https://localishealth.com/cpt/99316/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/99316/2017/B
- Last significant update: 2026-08-04T03:07:42+00:00