CPT code 99378: Hospice oversight, 30 minutes or more2026 Medicare rate & RVUs in Oregon
Physician hospice care-plan oversight totaling 30 minutes or more in a calendar month; Medicare reports this service with HCPCS G0182 instead.
CMS doesn’t publish an office rate for 99378 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.
Your location
On this page 9 sections
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 in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
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.
How the rate is built · 99378
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 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.
Place of service · 99378
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
99378 isn’t priced in this setting.
99378 compared with similar codes
Compare codes · National
4 codes, side by side
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.
99378 billing questions
Can 99378 be billed to Medicare?
No. Medicare status I means 99378 is not valid for Medicare; Medicare uses HCPCS G0182 to report physician hospice supervision.
When should 99378 be selected instead of 99377?
99378 represents 30 minutes or more of hospice care-plan oversight in a calendar month. 99377 is the 15-to-29-minute level.
What does one unit of 99378 represent?
The code represents at least 30 minutes of physician hospice oversight during the calendar month, not a separate 30-minute increment.
Does 99378 describe a face-to-face hospice visit?
No. It describes physician care-plan oversight and coordination, rather than a patient evaluation visit.
What should the physician document?
Document the hospice-related care-planning and coordination activities and the time spent on that oversight during the calendar month.
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
Fee sheets · Coming soon
Put 99378 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist