CPTCodeCalculator
E/MBase2026 Compliant

CPT 99344

2026 Billing Guide

Home Visit New, High

Reimbursement

$153.31

Threshold

60m

2026 Status

Active

What is CPT Code 99344?

CPT 99344 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 high level medical decision making. Typically, 60 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

3

Physician Effort

PE (Non-Fac)

1.45

Practice Expense

Malpractice

0.14

Risk Factor

Total RVU

4.59

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

2026 CMS Policy Intelligence

aging in place valuation

wRVU of 3.0 rewards the intense cognitive effort required to manage multiple systemic issues in a home setting.

efficiency shield

Exempt from -2.5% efficiency cut.

prolonged service alignment

Pairs with 99417 (or G2212 for Medicare) for visits lasting more than 75 minutes.

Administrative Framework

Global Period

000

Place of Service

12 (Home)13 (Assisted Living Facility)

NCCI Exclusions

Do not bill with:99341-9934299345 (Mutually exclusive tiers)99350

Operational Requirements

minimum time

60 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

99417 (Prolonged services - if time exceeds 75 minutes)

care plan requirement

High MDM involving extensive review of stable chronic conditions or acute severe problems.

Compliance Checklist

High MDM documentation (complex data, high risk) OR 60+ minutes
Medically appropriate history and multi-system physical exam
Social determinants of health (SDOH) assessment (highly recommended for home visits)
Coordination with existing caregivers and specialty providers

Audit Defense

No specific audit defense elements defined.

2026 Update

Medicare is auditing high-level Home E/M to ensure 'face-to-face' time is explicitly separated from 'administrative' time in the home.

Common Clinical Scenarios

Initial home evaluation of a patient with severe Parkinson's, CHF, and new-onset worsening dementia
Comprehensive assessment of a new bed-bound patient with complex pressure ulcers and cardiovascular instability

CMS Eligibility: Multiple unstable chronic conditions or 1 severe acute illness. Initial engagement for high-risk patient

Target Specialties & Utilization

Palliative CareComplex Care GeriatricsMobile Medical Groups

Typical Clinical Indications (ICD-10)

G30.9 (Alzheimer's disease)I50.9 (Heart failure)G20 (Parkinson's disease)L89.x (Pressure ulcers)

Billing Differentiation

VS 99342

99342 is moderate MDM (30m); 99344 is high MDM (60m).

VS 99345

99345 is the highest tier (75m).

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