CPT code 99375: Home health supervision, 30 minutes or more2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99375 covers

CPT 99375 represents physician oversight of a patient receiving services from a home health agency, provided without the patient present. The work may include developing or revising the care plan, reviewing reports on the patient’s status and related test results, and communicating with clinicians involved in the plan. This monthly oversight involves complex, multidisciplinary care coordination rather than a face-to-face evaluation.

The code represents 30 minutes or more of supervision and care coordination during a calendar month. Medicare assigns status I to 99375: it is not valid for Medicare reporting or payment. Medicare uses G0181 to report and pay for this service; report G0181 for Medicare when its requirements are met.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 99375 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99375 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 99375 rate is calculated

Each of 99375’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 99375

99375 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

99375 compared with similar codes

How to choose

99374Home health supervision15–29 minutes monthly

Both describe home health supervision, but 99375 represents 30 minutes or more during the month; 99374 is for the shorter interval.

G0181Home health supervision30 minutes per calendar month

G0181 is the code Medicare uses to report and pay for this service. CPT 99375 is not valid for Medicare reporting or payment.

99377Hospice supervision15-29 minutes monthly

99377 describes supervision for a patient receiving hospice care; 99375 is for home health agency care.

99379Nursing facility oversight15-29 minutes monthly

99379 describes supervision for a patient in a nursing facility, rather than home health care.

Codes related to 99375

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates