CPT code 99378: Hospice oversight, 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 99378 covers

99378 describes physician oversight of a patient receiving hospice care, measured across a calendar month rather than as a bedside visit. The physician reviews and manages the hospice care plan and coordinates care with hospice personnel and other involved clinicians. It is distinct from a patient evaluation visit and from supervision of home health or nursing-facility care. This level represents at least 30 minutes of qualifying hospice oversight during the month.

For Medicare billing, 99378 has status I: Medicare does not accept this CPT code and uses a different code to report the service. Medicare uses HCPCS G0182 for physician supervision of a hospice patient. In CPT coding, 99378 is the 30-minute-or-more hospice oversight level; 99377 represents the shorter 15-to-29-minute level. Documentation should identify the hospice-related care-planning and coordination work and the time spent during the calendar month.

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 99378 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

99378 rates by state

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

How the 99378 rate is calculated

Each of 99378’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 99378

99378 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.

99378 compared with similar codes

How to choose

99377Hospice supervision15-29 minutes monthly

Both describe physician hospice care-plan oversight. Use 99377 for 15 to 29 minutes in the month and 99378 for 30 minutes or more.

G0182Hospice supervision30 minutes per month

G0182 is Medicare's code for physician hospice supervision; 99378 is the CPT code and is not valid for Medicare.

99374Home health supervision15–29 minutes monthly

99374 concerns home health care-plan oversight, not hospice supervision. Choose according to the patient's care setting.

Codes related to 99378

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