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CPT 99347: Home/Residence E/M Visit for Established Patient, ≥20 Minutes
CPT code 99347 represents an evaluation and management (E/M) home or residence visit for an established patient, requiring straightforward medical decision making or at least 20 minutes of total time on a single date. As a nationally used CPT code, it captures physician and qualified health professional services delivered in the patient’s home and is central to billing for in-person home-based primary care, post-discharge follow-up, and geriatric or mobility-limited patient management.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The code’s application affects reimbursement, care access for patients unable to attend office visits, and operational workflows for home visit programs.
Readers will learn the clinical and billing context for CPT code 99347, how it is typically used in home-based E/M encounters, and which payers commonly recognize the service. The publication also outlines benchmarks and policy considerations relevant to E/M home visits, including time-based versus decision-making-based billing guidance and payer-specific coverage trends where available. Data limitations are noted when payer-specific rates or contract details are not provided. The summary is intended for clinicians, billing professionals, and policy analysts seeking a concise national overview of CPT code 99347.
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Billing Code Overview
CPT code 99347 describes an evaluation and management (E/M) home or residence visit for an established patient. The service covers encounters in which the visit involves straightforward medical decision making or the provider spends at least 20 minutes of total time on the single-date encounter.
Service type: E/M home or residence visit for established patients
Typical site of service: Patient's home or residential setting
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.