CPT 99344
Global XXX ActiveHome/res vst new mod mdm 60
CPT 99344 Billing & Documentation Guide
CPT code 99344 (Home/res vst new mod mdm 60) is classified under E/M with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.87, a non-facility practice expense RVU of 1.36, and a malpractice RVU of 0.16, a total non-facility RVU of 4.39 and facility RVU of 4.39. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $149.8, though rates vary from $137.63 to $195.11 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 99344, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 99344 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 99344 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 99344
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.87 | 2.87 |
| Practice Expense RVU | 1.36 | 1.36 |
| Malpractice RVU | 0.16 | 0.16 |
| Total RVU | 4.39 | 4.39 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 99344
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $155.94 | $155.94 | $150.14 - $174.77 | 29 |
| Florida | $151.84 | $151.84 | $147.32 - $156.66 | 3 |
| Georgia | $145.74 | $145.74 | $142.75 - $148.72 | 2 |
| Illinois | $150.3 | $150.3 | $145.69 - $154.45 | 4 |
| Michigan | $146.04 | $146.04 | $143.37 - $148.71 | 2 |
| North Carolina | $141.66 | $141.66 | $141.66 - $141.66 | 1 |
| New York | $158.35 | $158.35 | $142.77 - $165.93 | 5 |
| Ohio | $142.72 | $142.72 | $142.72 - $142.72 | 1 |
| Pennsylvania | $146.93 | $146.93 | $142.61 - $151.25 | 2 |
| Texas | $146.07 | $146.07 | $142.16 - $149.09 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 99344
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 99344 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0074T | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
| 0115T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0116T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0359T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0360T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0361T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0362T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0362T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0363T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0364T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 99344
What does CPT code 99344 mean? +
CPT code 99344 represents: Home/res vst new mod mdm 60. It's in the E/M category with a global period of XXX.
What is the Medicare reimbursement for CPT 99344? +
The 2026 Medicare national average non-facility payment for CPT 99344 is $149.8. Rates range from $137.63 to $195.11 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 99344? +
E/M codes commonly use modifier 25 (significant separately identifiable E/M on same day as a procedure), 57 (decision for major surgery), 24 (unrelated E/M during global period), 95 (synchronous audio+video telehealth), 93 (audio-only telehealth), and AI (principal physician of record on admission). Surgical modifiers like 50, 51, 59 do not apply to E/M.
What bundling edits apply to CPT 99344? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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