CMS RBCS · Evaluation & management · Nursing Facility Services

SNF E&M codes

12 CPT®/HCPCS codes, ranked by est. all-Medicare services — scaled from national Medicare Part B fee-for-service volume. Open any code for the full market view — ranked physician groups, geography, and 12-year trend.

CY2024 · National scale is an all-Medicare estimate · est. — scaled estimate — assumes MA utilization mirrors FFS; not an observation; the observed fee-for-service figure is shown adjacent. Part B · national figures

HCPCS · E&M G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi CMS descriptor · HCPCS
Medicare Part B claims

First observed 2023 — first year this code appears in Part B claims

National scale 221,206 services · est. ▼ 30.6% YoY · 51,561 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 109,074 observed fee-for-service services

See the national market for G0317 → ranked groups · states · 12-yr trend

HCPCS · E&M G9685 Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project CMS descriptor · HCPCS
Medicare Part B claims

First observed 2016 — first year this code appears in Part B claims

National scale 2,096 services · est. ▼ 47.9% YoY · 748 FFS beneficiary-episodes (CY2020, all-Medicare estimate) — 1,197 observed fee-for-service services

See the national market for G9685 → ranked groups · states · 12-yr trend

10 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.