Hospital · CMS status A
99239
Hospital discharge day > 30 min
Hospital inpatient or observation discharge day management, more than 30 minutes. CMS 2026 wRVU 2.15. The higher-effort discharge code; appropriate when discharge-day work exceeds 30 minutes total.
Work RVU
2.15
2026 Medicare pays
$105.88
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 2.15 + Practice 0.86 + Malpractice 0.16 = 3.17 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 99239 is locked
- When to use it: the exact clinical situations that support billing 99239
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 3 mistakes that get 99239 downcoded or denied
Start your free 3-month trial →Every new account gets full Pro Max access for 3 months. No card needed.
Common ICD-10 pairings
I50.32J44.1N18.4C50.911
Payer notes
Medicare audits 99239 ratios at the practice level; clinicians billing 99239 on greater than 70 percent of discharges may draw post-payment review without supporting documentation. Commercial payers usually mirror Medicare.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.