Care setting rate rollup
Nursing Facility Professional Services
Initial, subsequent, and discharge-day professional visits furnished to skilled nursing facility and nursing facility residents.
A curated starter set for comparison—not a claim that every care setting bills every code, and not a utilization-weighted average.
At a glance
Q2 2026 compared with the prior available PFS release.
Conversion factor: 0.0%
Payable codes
9 / 9
Changed this release
0
Largest increase
None
Largest decrease
None
See the rates where you practice
Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.
Current national rates
Q2 2026 releaseFacility amounts for professional services, GPCI 1.000, before sequestration.
| Code and service | Status | Facility amount | Prior release | Change |
|---|---|---|---|---|
| Visits and evaluation | ||||
| 99304 Initial Nursing Facility Visit, Level 1 | Active | $71.14 | $71.14 | $0.00 · 0.0% |
| 99305 Initial Nursing Facility Visit, Moderate Level | Active | $119.91 | $119.91 | $0.00 · 0.0% |
| 99306 Initial Nursing Facility Visit, High Level | Active | $163.33 | $163.33 | $0.00 · 0.0% |
| 99307 Subsequent Nursing Facility Visit, Level 1 | Active | $37.07 | $37.07 | $0.00 · 0.0% |
| 99308 Subsequent Nursing Facility Visit, Level 2 | Active | $67.80 | $67.80 | $0.00 · 0.0% |
| 99309 Subsequent Nursing Facility Visit, Level 3 | Active | $98.53 | $98.53 | $0.00 · 0.0% |
| 99310 Subsequent Nursing Facility Visit, Level 4 | Active | $140.28 | $140.28 | $0.00 · 0.0% |
| 99315 | Active | $73.15 | $73.15 | $0.00 · 0.0% |
| 99316 Nursing Facility Discharge Visit, Longer Session | Active | $117.57 | $117.57 | $0.00 · 0.0% |
Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.
How often these codes appear in Medicare
Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. This is use by clinicians of all specialties—not a Nursing Facility Professional Services utilization mix—and it is on a different publication cycle from the fee schedule.
Services
33.8M
Times these codes were billed
Allowed dollars
$3.1B
Across covered Medicare FFS services
Most used in this set
99309
14.9M services
Coverage: 9 of 9 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.
Turn the list into contract math
Analyze a payer offer using these Nursing Facility Professional Services codes
We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.
Get notified when Nursing Facility Professional Services rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 9 Nursing Facility Professional Services codes on this page.
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Source & method
Amounts computed from the CMS Medicare Physician Fee Schedule Q2 2026 release , GPCI 1.000, before the ~2% sequestration cut. This is our own clean-room grouping by common clinical scenario, not the AMA’s code-family taxonomy. It is a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release—never a fake $0.
CMS defines skilled nursing facility and nursing facility care as places of service 31 and 32. This page uses facility PFS amounts for physician and other billing-practitioner professional services only; it does not include the institution’s SNF PPS or Medicaid payment, therapy, or consolidated-billing effects.