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From 1 January 2023, the old domiciliary, rest home and custodial care codes (99324–99337) were deleted. Their settings joined the home services codes in a single family, home or residence services (99341–99350).
Part 1 of 3
Where the codes apply
Done: Where the codes apply
Part 2 of 3
The codes
| MDM | New patient | Time (min) | Established patient | Time (min) |
|---|---|---|---|---|
| Straightforward | 99341 | 15 | 99347 | 20 |
| Low | 99342 | 30 | 99348 | 30 |
| Moderate | 99344 | 60 | 99349 | 40 |
| High | 99345 | 75 | 99350 | 60 |
99343 and 99346 were deleted in 2023, which is why the new-patient codes skip from 99342 to 99344. Pick the level by MDM or total time on the date of the visit. History and exam must be medically appropriate, but they don't set the level.
Concept map
Home or residence
99341–99350
Settings
- POS 12 home
- POS 13 assisted living
- POS 14 group home
- POS 33 custodial care
- POS 55 residential SUD treatment
Rules
- POS 12: physician must actually be in the home
- Patient doesn't need to be homebound
- Level by MDM or time
Add-ons
G2211From 1 Jan 2026G0318Prolonged, Medicare99417Prolonged, CPT
Done: The codes
Part 3 of 3
Rules to remember
- POS 12 (home): a physician can bill 99341–99350 with POS 12 only if they were actually present in the patient's home.
- Homebound status isn't required. That rule belongs to the home health benefit, not to physician home visits.
- G2211 (new in 2026): add it to 99341, 99342, 99344, 99345 or 99347–99350 when you are the focal point of the patient's care or give ongoing care for a serious or complex condition. See G2211.
Prolonged home visits: G0318
For Medicare, report G0318 with the highest-level code, chosen by time, once the threshold is met. Time on the days around the visit counts too.
| Primary code | G0318 from | Count time in |
|---|---|---|
| 99345 (new) | 140 minutes | 3 days before + date of visit + 7 days after |
| 99350 (established) | 110 minutes | 3 days before + date of visit + 7 days after |
Each further full 15 minutes adds one unit. Other payers usually use CPT 99417.
Established patient in assisted living
Feb 2026. Dr. Shah, the long-time PCP, visits Mrs. K (POS 13) for weight loss and confusion and spends 60 minutes. Two days before, he spent 25 minutes reviewing outside labs and hospital records. Three days after, he spent 30 minutes coordinating with her daughter and the facility nurse. He documents total time.
Reveal answer & rationaleHide answer
Calculator: prolonged time (choose 99345 or 99350)
Medicare rules, 2026Medicare
99215 ×1G2212 ×1
Other payers (CPT)
99215 ×199417 ×2
Done: Rules and prolonged time