How does CPT 99308 compare to other Nursing Facility Services Codes?

CPT code 99308 represents a moderate-complexity encounter within the Evaluation and Management (E&M) services for Nursing Facility Services. It distinguishes itself from other nursing facility codes by requiring more provider time and a moderate level of medical decision-making (MDM). Unlike lower-level codes that involve simpler assessments and less time, 99308 typically encompasses situations with multiple diagnoses, intricate medication management, or the interpretation of various diagnostic tests. Consequently, it leads to higher reimbursement and mandates more detailed documentation compared to less complex codes. Other codes in this series vary in their requirements, ranging from lower-level services with minimal complexity to higher-level services demanding extensive time and high-complexity MDM. For specific details on reimbursement rates and payer-specific policies related to CPT 99308 in your particular location, Payerprice offers a fee schedule lookup tool.

CPT 99308 Fee Schedule

Last Verified: July 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Sbsq Nf Care Low Mdm 20, Subsequent Nursing Facility Care Per Day For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And Or Examination And Low Level Of Medical Decision Making When Using Total Time On The Date Of The Encounter For Code Selection 20 Minutes Must Be Met Or Exceeded

Key Fact	Detail
Service Type	Subsequent Nursing Facility Care Nursing Facility Services
Common Place of Service	99 - Other POS None
Common Modifiers	None 25 - Significant, separately identifiable E/M service same day CG - Policy criteria applied
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 99308

National average reimbursement for CPT 99308 by major payers:

$88.45

$68.45

$74.24

$112.77

Preview provider-level rates for...

For billing codeCPT 99308

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	99308	$98.18	1134885163 - JUSTIN MASUD	591707138 - (FL) CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS, MD, PA	FL	Physician Assistant (363A00000X)
United	99308	$59.61	1215784285 - WEST POINT MEDICAL ASSOCIATES LLC	992858527 - (FL) WEST POINT MEDICAL ASSOCIATES LLC	FL	Internal Medicine Physician (207R00000X)
United	99308	$89.65	1518012590 - LAURA LONG	843213629	IL	Psychiatry Physician (2084P0800X)
United	99308	$61.70	1508846866 - AUDREY LEWERENZ-WALSH	611912933	FL	Family Medicine Physician (207Q00000X)
United	99308	$66.54	1942392212 - ATUL SHETH	223500420 - CENTER FOR FAMILY GUIDANCE, PC	IL	Psychiatry Physician (2084P0800X)
United	99308	$160.58	1740505569 - MEGHAN O'NEILL	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	99308	$135.71	1962664789 - JAMIE EVANS	910844563	WI	Psychiatry Physician (2084P0800X)
United	99308	$79.45	1720787641 - KOURTNEY RUFF	882121598 - GEODE HEALTH OF TEXAS PLLC	FL	Physician Assistant (363A00000X)
United	99308	$87.26	1144329764 - CHARLES BURDA	362276984 - ADVENTIST MIDWEST HEALTH	IL	Psychiatry Physician (2084P0800X)
United	99308	$78.27	1962664789 - JAMIE EVANS	331075317 - NCHMD INC	IL	Psychiatry Physician (2084P0800X)
United	99308	$107.66	1215968755 - STACEY OCCOMY	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IN	Psychiatry Physician (2084P0800X)
United	99308	$43.15	1417913187 - JONATHAN FOX	650338031 - (FL) PHYSICIANS ASSOCIATES LLC	FL	Family Medicine Physician (207Q00000X)
United	99308	$70.12	1316064504 - TRICE LININGER	870408859 - (FL) OPTUMCARE FLORIDA, LLC	FL	Nurse Practitioner (363L00000X)
United	99308	$52.50	1437199494 - JULIAN MOORE	591671640 - (FL) FLORIDA COMMUNITY HEALTH CENTERS INC	FL	Family Medicine Physician (207Q00000X)
United	99308	$116.62	1972863827 - KEVIN JOHNSON	650512900 - SMH PHYSICIAN SERVICES INC	FL	Internal Medicine Physician (207R00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 99308 vs. Other Nursing Facility Services Codes

The CPT 99308 code is part of the Subsequent Nursing Facility Care services used for Nursing Facility Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 99308 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
99304-CPT	Low	Medical Care, Initial Nursing Facility Care Per Day For The Evaluation And Management Of A Patient Which Requires These 3 Key Components: A Detailed Or Comprehensive History; A Detailed Or Comprehensive Examination; And Medical Decision Making That Is Straightforward Or Of Low Complexity. Counseling And/Or Coordination Of Care With Other Physicians Other Qualified Health Care Professionals Or Agencies Are Provided Consistent With The Nature Of The Problem(S) And The
99305-CPT	Moderate	1st Nf Care Moderate Mdm 35, Initial Nursing Facility Care Per Day For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And Or Examination And Moderate Level Of Medical Decision Making When Using Total Time On The Date Of The Encounter For Code Selection 35 Minutes Must Be Met Or Exceeded
99306-CPT	High	1st Nf Care High Mdm 50, Initial Nursing Facility Care Per Day For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And Or Examination And High Level Of Medical Decision Making When Using Total Time On The Date Of The Encounter For Code Selection 50 Minutes Must Be Met Or Exceeded
99308-CPT	Low	Sbsq Nf Care Low Mdm 20, Subsequent Nursing Facility Care Per Day For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And Or Examination And Low Level Of Medical Decision Making When Using Total Time On The Date Of The Encounter For Code Selection 20 Minutes Must Be Met Or Exceeded

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99308. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 99308 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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