CPT Code 99344: Home Visit, New Patient, Moderate Complexity, ~60 Minutes

Learn more about the CPT code 99344, its documentation requirements, and billing guidelines.

What is the 99344 CPT code?

CPT code 99344 is used to report home or residence services. More specifically, it is a code for evaluation and management, moderate complexity medical decision making, or approximately 60 minutes of total time for new patients.

It applies to patients with newly established care in a private residence, temporary lodging, an assisted living facility, or a custodial care facility.

CPT code 99344 documentation requirements

To support the necessity of the home visit for evaluation and the level of service billed, the key documentation requirements include:

Confirmation of new patient status home
Detailed history and physical examination
Moderate complexity MDM (e.g., multiple conditions, moderate risk interventions)
Duration of visit (if billing based on time)
Assessment and care plan including referrals, labs, or prescriptions
Environmental or social risk factors, if relevant

CPT code 99344 billing guidelines

For accurate billing, qualified health care professionals using the code must consider the following guidelines:

Use for new patients only, not seen by the provider or group in the past 3 years.
Cannot be reported with domiciliary codes on the same date.
Use place of service (POS) 12 to indicate a home visit.
Add another code for reporting prolonged services
Only one new patient home E/M may be reported per provider per patient.