CPT 99348 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Evaluation and Management • Home or Residence Services |
| Common Place of Service | • None • 99 - Other POS |
| Common Modifiers | • None • 25 - Significant, separately identifiable E/M service same day • 95 - Telemedicine - audio and video |
| Complexity Level | Low |
National average reimbursement for CPT 99348 by major payers:
$99.50
$96.27
$86.43
$118.72
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99348 | ||||||
United | 99348 | $84.86 | 1841301926 - DALLAS INTERNAL MEDICINE GROUP, P.A. | 752890438 - (TX) DALLAS INTERNAL MEDICINE GROUP. P.A | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $115.66 | 1316357346 - CODY GOMEZ | 260224705 - (TX) CAPITAL AREA PRIMARY CARE PLLC | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $180.92 | 1376171744 - FELICIA YAN | 760386391 - KELSEY-SEYBOLD MEDICAL GROUP PLLC | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $86.00 | 1770585598 - SARA BARTOS M.D., P.A. | 742874879 - (TX) SARA BARTOS MD PA | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $111.37 | 1427439074 - KARANPRIT SINGH | 271371893 | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $285.94 | 1740291319 - SWATI AVASHIA | 752740653 - (TX) MAGELLA MEDICAL ASSOCIATES BILLING INC | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $211.42 | 1861540551 - RACHEL BONNEMA | 756002868 | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $192.75 | 1346627098 - BRIANA LEWIS | 582030692 - EMORY UNIVERSITY | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $105.01 | 1790134476 - SUZANNE DAVIS | 741586031 | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $142.42 | 1780784223 - JOHN BRENNER | 10372148 - EASTERN MAINE HEALTHCARE SYSTEMS | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $147.11 | 1851516876 - WEI TANG | 752582845 | TX | Neurology Physician (2084N0400X) |
United | 99348 | $76.00 | 1225072507 - GERARD ABREO | 202798379 - (TX) CLEAR LAKE SPECIALTIES, PA | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 99348 | $76.98 | 1740549237 - ALEJANDRA PONCE | 812727960 - (TX) PONCE MEDICAL PLLC | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $97.19 | 1427229947 - MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP, PARKVIEW REGIONAL MEDICAL CLINIC | 621692446 | TX | Internal Medicine Physician (207R00000X) |
United | 99348 | $172.72 | 1942213392 - CYNTHIA WILDER | 474482186 - (TX) ABKSW PREFERRED HEALTH PARTNERS | TX | 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 99348 vs. Other Home or Residence Services Codes
The CPT 99348 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 99348 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 |
|---|---|---|
| 99342-CPT | Low | 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. (Desc Rvsd 1/1/23) |
| 99344-CPT | Moderate | 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. (Desc Rvsd 1/1/23) |
| 99347-CPT | Low | Home Or Residence Visit For The Evaluation And Management Of A Established 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 20 Minutes Must Be Met Or Exceeded(Desc Rvsd 1/1/23) |
| 99348-CPT | Low | Home Or Residence Visit For The Evaluation And Management Of A Established 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(Desc Rvsd 1/1/23) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99348. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99348 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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