CPT code 99375: Home health supervision, 30 minutes or more2026 Medicare rate & RVUs in Oregon
CPT 99375 describes at least 30 minutes of physician supervision and care coordination for a patient receiving home health agency services during a calendar month.
CMS doesn’t publish an office rate for 99375 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
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.
How the rate is built · 99375
RVUs × geographic indexes × conversion factor
Work1.73
1.73 RVUs× 1.000 GPCI
Practice expense1.32
1.32 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
3.1600
Conversion factor
$33.4009
Medicare rate
$105.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 99375
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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99375 isn’t priced in this setting.
99375 compared with similar codes
Compare codes · National
5 codes, side by side
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.
99375 billing questions
How does 99375 differ from 99374?
Both describe home health care supervision. 99375 represents 30 minutes or more during a calendar month; 99374 is the shorter-time sibling.
What code does Medicare use instead?
Medicare uses G0181 to report and pay for this home health supervision service. CPT 99375 is not valid for Medicare reporting or payment.
Does the patient need to be present?
No. This code describes physician supervision and care coordination performed without the patient present.
What time period and amount of work does 99375 represent?
It represents 30 minutes or more of home health supervision during a calendar month.
Is 99375 the code for hospice supervision?
No. 99375 concerns supervision of a patient receiving home health agency services. Hospice supervision is represented by related codes 99377 and 99378.
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
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