CPTCodeCalculator
E/MBase2026 Compliant

CPT 99342

2026 Billing Guide

Home Visit New, Mod

Reimbursement

$85.50

Threshold

30m

2026 Status

Active

What is CPT Code 99342?

CPT 99342 is defined as: 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 medical decision making. Typically, 30 minutes must be met if billing by time.

This code is primarily used for E/M services. It falls under the category of Home Evaluation and Management (Home E/M) and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

1.4

Physician Effort

PE (Non-Fac)

1.05

Practice Expense

Malpractice

0.11

Risk Factor

Total RVU

2.56

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

home care expansion

Part of the 2026 push to move services out of facilities and into the patient's home.

efficiency shield

Exempt from -2.5% efficiency cut.

residence visit parity

Ensures equal payment regardless of whether 'home' is a private house or an assisted living facility.

Administrative Framework

Global Period

000

Place of Service

12 (Home)13 (Assisted Living Facility)

NCCI Exclusions

Do not bill with:9934199344-9934599347-99348

Operational Requirements

minimum time

30 minutes (if billing by time)

staff type

Physician or other Qualified Health Care Professional (QHP)

frequency

Once per new patient per specialty

add on codes

care plan requirement

Low to moderate MDM involving assessment of stable acute or chronic problems.

Compliance Checklist

Low to Moderate MDM documentation OR 30+ minutes of total time
Medically appropriate history and physical exam
Updated medication list and care team coordination notes
Documentation of new patient status (3-year rule)

Audit Defense

No specific audit defense elements defined.

2026 Update

Payers are checking if Home E/M visits lead to increased utilization of CCM/RPM - ensure documentation links these services.

Common Clinical Scenarios

Initial home visit for a patient with new-onset hypertension and mild osteoarthritis managed with OTC meds
Evaluation of a patient with a stable chronic condition and a new minor respiratory infection

CMS Eligibility: 2+ stable chronic conditions or 1 acute problem with mild systemic symptoms. Initial engagement

Target Specialties & Utilization

Family MedicineGeriatricsNurse Practitioner led House Call groups

Typical Clinical Indications (ICD-10)

I10 (Hypertension)M19.90 (Osteoarthritis, unspecified)J06.9 (Acute upper respiratory infection)

Billing Differentiation

VS 99341

99341 is straightforward; 99342 is low MDM (30m).

VS 99344

99344 is moderate-to-high MDM (60m).

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