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CPT code 99308: 2026 description, time rules, and billing guide

CPT code 99308 subsequent nursing facility care billing 2026 hero banner: the 2026 rule break that dropped the POS 31 facility rate $11.03 below POS 32 for the identical visit, the time threshold raised from 15 to 20 minutes effective January 2024 that outdated templates still miss, low MDM scored on two of three elements with a stable-chronic-illness test that often gets miscoded as 99309, the CR 13767 edit rejecting POS 32 claims that overlap an active Part A SNF stay, and the removed 2026 telehealth frequency cap under modifier 95 and POS 02, from ClaimMax RCM.

CPT code 99308 reports a subsequent nursing facility visit with low medical decision making (MDM) or at least 20 minutes of total time on the date of the encounter. You bill it once per day, after the initial visit, for a resident of a skilled nursing facility or nursing facility. Plenty of billing templates still […]