CPTCodeCalculator
E/MBase2026 Compliant

CPT 99350

2026 Billing Guide

Home Visit Est, High

Reimbursement

$143.62

Threshold

60m

2026 Status

Active

What is CPT Code 99350?

CPT 99350 is defined as: Home or residence visit for the evaluation and management of a established 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

2.6

Physician Effort

PE (Non-Fac)

1.55

Practice Expense

Malpractice

0.15

Risk Factor

Total RVU

4.3

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

2026 CMS Policy Intelligence

palliative transition

Often used in advanced illness management (AIM) or palliative programs to keep patients out of the hospital.

efficiency shield

Exempt from -2.5% efficiency cut.

prolonged service link

Used with 99417 (non-Medicare) or G2212 (Medicare) for encounters exceeding 75 minutes.

Administrative Framework

Global Period

000

Place of Service

12 (Home)13 (Assisted Living Facility)

NCCI Exclusions

Do not bill with:99341-9934599347-99349

Operational Requirements

minimum time

60 minutes (if billing by time)

staff type

Physician or other Qualified Health Care Professional (QHP)

frequency

As clinically necessary

add on codes

99417 (Prolonged services - if time exceeds 75 minutes)

care plan requirement

High MDM involving management of multiple chronic unstable conditions or severe life-threatening situations in the home.

Compliance Checklist

High MDM documentation (complex data review, extreme risk) OR 60+ minutes of total time
Medically appropriate history and physical exam
Assessment of caregiver capacity and home environment safety
Coordination of community-based services and specialty home visits

Audit Defense

No specific audit defense elements defined.

2026 Update

Payers are correlating 99350 usage with functional status (using Z-codes for ADLs/IADLs) - ensure functional decline is documented.

Common Clinical Scenarios

Monthly home management for a patient with end-stage COPD, severe CKD, and recurring Falls requiring multi-specialty coordination
Intense home stabilization following a recent hospitalization for a high-risk geriatric patient

CMS Eligibility: Multiple complex/unstable conditions or high-risk social/environmental factors. High-intensity follow-up

Target Specialties & Utilization

Palliative CareGeriatricsSpecialized Mobile Medical Units

Typical Clinical Indications (ICD-10)

J44.1 (COPD with acute exacerbation)N18.5 (CKD, stage 5)R26.81 (Unsteadiness on feet / High fall risk)

Billing Differentiation

VS 99349

99349 is moderate MDM (40m); 99350 is high MDM (60m).

VS 99344

99344 is the HIGH level for NEW patients; 99350 is for ESTABLISHED.

Maximize Revenue with AI Confidence

Stop leaving earned revenue on the table. CPT Copilot (Coming Soon) automatically handles the complexity of 2026 CMS policies, identifying every opportunity while ensuring 100% compliance.

CPT Code 99350 for Home Visit Est, High - 2026 Reimbursement & Rules