HCPCS code G0076: Home care management, new patient, 20 minutes2026 Medicare rate & RVUs

Medicare pays $49.43 for G0076 nationally in the office. Local office rates run $46.76–$66.63.

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

What G0076 covers

G0076 identifies a care-management service delivered during a home visit for a new patient. The code distinguishes this encounter by both the home setting and the 20-minute time level. It does not identify a particular diagnosis, specialty, or care-management task, so the documentation should describe the service performed rather than relying on the code label alone.

Select G0076 when the patient meets the applicable new-patient classification and the documented home-visit service supports this time level. Record the home setting, new-patient status, and time associated with the care-management work. The CMS physician fee schedule assigns work, practice-expense, and malpractice relative values to the service; the fee schedule’s payment display provides the applicable rate separately.

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 G0076 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

G0076 rates by state

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

How the G0076 rate is calculated

Each of G0076’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 G0076

G0076 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.

G0076 compared with similar codes

How to choose

G0077Home care managementNew patient, 30 minutes

Both describe new-patient care-management home visits; G0077 is the 30-minute level, while G0076 is the 20-minute level.

G0081Home care visitEstablished patient, 20 minutes

G0081 is the 20-minute home-visit level for an established patient. G0076 is designated for a new patient.

G0086Care managementHome care plan, 30 minutes

G0086 identifies a care-management home-care-plan service at a 30-minute level, rather than the 20-minute new-patient home-visit level represented by G0076.

Codes related to G0076

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