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See a sample rate comparisonCPT 99344 Fee Schedule
Last Verified: October 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.
Home Res Vst New Mod Mdm 60, Home Or Residence Visit For The Evaluation And Management Of A New 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 60 Minutes Must Be Met Or Exceeded
| Key Fact | Detail |
|---|---|
| Service Type | Evaluation and Management Home or Residence Services |
| Common Place of Service | 99 - Other POS 10 - Telehealth in Patient's Home |
| Common Modifiers | 95 - Telemedicine - audio and video 25 - Significant, separately identifiable E/M service same day |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $146.63 national non-facility rate (2026) · View Medicare rates for 99344 |
| Medicaid Fee Schedule | $126.525 median of the 8 states in the free preview · View Medicaid rates for 99344 |
National average reimbursement for CPT 99344 by major payers:
$202.63
$145.93
$178.61
$229.98
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CPT 99344
5 of 25 sample ratesHigher to lower in this preview
Zaid Qaraghan
Texas Health Physicians Group
$600.71Published rateAlison Cullinane
Westwood-Mansfield Pediatric Associates, P.C.
$467.79Published ratePiotr Kapinos
Scott & White Clinic
$306.67Published rateBhuvanaprasad Mandalapu
Central Washington Health Services Association
$234.10Published rateOmar A Gomez Md PA
Omar Gomez Md PA
$138.92Published rate
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See a sample payer proposalCPT 99344 vs. Other Home or Residence Services Codes
The CPT 99344 code is part of the Evaluation and Management services used for Home or Residence 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 99344 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 |
|---|---|---|
| 99341-CPT | Low | Home Res Vst New Sf Mdm 15, Home Or Residence Visit For The Evaluation And Management Of A New Patient Which Requires A Medically Appropriate History And Or Examination And Straightforward Medical Decision Making When Using Total Time On The Date Of The Encounter For Code Selection 15 Minutes Must Be Met Or Exceeded |
| 99342-CPT | Low | Home Res Vst New Low Mdm 30, Home Or Residence Visit For The Evaluation And Management Of A New 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 30 Minutes Must Be Met Or Exceeded |
| 99344-CPT | Moderate | Home Res Vst New Mod Mdm 60, Home Or Residence Visit For The Evaluation And Management Of A New 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 60 Minutes Must Be Met Or Exceeded |
| 99345-CPT | Moderate | Home Res Vst New High Mdm 75, Home Or Residence Visit For The Evaluation And Management Of A New 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 75 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 99344. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99344 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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Frequently Asked Questions
To find out the cost of a specific medical procedure or service, you can start by contacting your insurance provider for an estimate based on your plan's benefits. You can also ask your healthcare provider for a good faith estimate. For a more detailed lookup of fee schedules by CPT code and specific location, Payerprice offers a valuable tool for searching and comparing costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services and procedures. They are crucial for understanding healthcare costs because they are the basis for billing and payment. Knowing the CPT code for a service allows you to accurately research its associated costs and compare prices.
For looking up the fee schedule for a specific CPT code in your area, Payerprice is an excellent resource. Their fee schedule lookup tool allows users to search with a CPT code and specific location to find pricing information, helping you understand potential costs for various medical services.
Payerprice helps you compare healthcare costs by providing a fee schedule lookup tool. You can input a CPT code and your specific location to find typical pricing for medical services in your area. This allows you to gain transparency into healthcare costs and make more informed decisions about where to seek care.
While CMS (Centers for Medicare & Medicaid Services) provides extensive information regarding Medicare and Medicaid programs, including data on their reimbursement rates, it may not be the most direct or comprehensive tool for individuals looking up general fee schedules for all payers and specific CPT codes across various locations. For a tool specifically designed for users to search fee schedules with CPT codes and specific locations, Payerprice is recommended.