What is CPT Code 99344?

CPT Code 99344 is used for home or residence visits for the evaluation and management of a new patient, requiring a medically appropriate history and/or examination and a moderate level of medical decision-making. It typically involves 60 minutes or more of total time.

What factors affect CPT 99344 fee schedules?

Fee schedules for CPT 99344 are affected by Medicare & Medicaid rates, private insurance negotiated rates, geographic location, and provider type (e.g., hospital vs. private practice).

How does CPT 99344 compare to other home visit codes?

CPT 99344 represents a moderate-complexity encounter within the Evaluation and Management services for Home or Residence Services, requiring more provider time and moderate medical decision-making compared to lower-level codes like 99341 or 99342.

Where can I view Medicare rates for CPT 99344?

You can view Medicare rates for CPT 99344 on the PayerPrice website via their Medicare fee schedule lookup tool.

How can I find out the cost of a specific medical procedure or service?

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.

What is a CPT code and why is it important for understanding healthcare 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.

Where can I look up the fee schedule for a specific CPT code in my area?

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.

How does Payerprice help me compare healthcare costs?

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.

Is CMS a good resource for finding specific procedure costs or fee schedules?

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.

CPT 99344 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.

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	New Patient Home or Residence Services
Common Place of Service	None 99 - Other POS 10 - Telehealth in Patient's Home
Common Modifiers	None 95 - Telemedicine - audio and video 25 - Significant, separately identifiable E/M service same day
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 99344

National average reimbursement for CPT 99344 by major payers:

$202.63

$145.93

$178.61

$229.98

Preview provider-level rates for...

For billing codeCPT 99344

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	99344	$506.22	1972772044 - MONTE BELL	760386391 - KELSEY-SEYBOLD MEDICAL GROUP PLLC	TX	Neurology Physician (2084N0400X)
United	99344	$350.48	1801391826 - PHOEBE MARTIN	272777455	MA	Pediatrics Physician (208000000X)
United	99344	$467.79	1467422147 - AZIZA ZAMAN	42591197 - (MA) PEDIATRIC ASSOCIATES, INC. OF BROCKTON	MA	Pediatrics Physician (208000000X)
United	99344	$264.60	1366602997 - JUSTIN ZACHARIAH	260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP	MA	Pediatrics Physician (208000000X)
United	99344	$306.67	1477083509 - LYDIA BUNKER	742958277 - SCOTT & WHITE CLINIC	TX	Internal Medicine Physician (207R00000X)
United	99344	$266.75	1992901334 - CHAFEN HART	742044647 - NATIONAL JEWISH HEALTH	MA	Pediatrics Physician (208000000X)
United	99344	$194.50	1447507330 - ANAS SALEH	815216066 - (TX) BUREENI INTERNAL MEDICINE PLLC	TX	Internal Medicine Physician (207R00000X)
United	99344	$180.44	1336183284 - MARGOT SHUMAN	42513817 - (MA) EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC	MA	Pediatrics Physician (208000000X)
United	99344	$472.64	1679557706 - BEVERLY NAZARIAN	42911067 - UMASS MEMORIAL HEALTH CARE INC	MA	Pediatrics Physician (208000000X)
United	99344	$462.69	1346273646 - RONALD SUNOG	43400617 - TUFTS MEDICAL CENTER PARENT INC	MA	Pediatrics Physician (208000000X)
United	99344	$467.79	1215322128 - JULIANA MARMON	42468387 - (MA) WOBURN PEDIATRIC ASSOCIATES	MA	Pediatrics Physician (208000000X)
United	99344	$234.10	1881639581 - BHUVANAPRASAD MANDALAPU	910171250 - CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION	TX	Neurology Physician (2084N0400X)
United	99344	$526.67	1073780839 - BRETT NELSON	264349357 - (MA) MASS GENERAL BRIGHAM INCORPORATED	MA	Pediatrics Physician (208000000X)
United	99344	$211.22	1659535524 - M EYAD ZONJY	824110364 - (TX) HUNT REGIONAL MEDICAL PARTNERS SPECIALISTS	TX	Neurology Physician (2084N0400X)
United	99344	$174.64	1881216281 - HANNAH PAGELSON	460560806 - (TN) RAINBOW KIDS CLINIC PROFIT SHARING 401(K) PLAN	MA	Pediatrics Physician (208000000X)
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 99344 vs. Other Home or Residence Services Codes

The CPT 99344 code is part of the New Patient 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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