HCPCS code G0076: Home care management, new patient, 20 minutes2026 Medicare rate & RVUs in Missouri
Reports a 20-minute care-management home visit for a new patient, distinguishing it from longer new-patient levels and established-patient home visits.
Medicare pays $47.42–$48.75 for G0076 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
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 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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$47.42 to $48.75
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $48.53 | Unavailable |
| Metropolitan St. Louis, MO | $48.75 | Unavailable |
| Rest of Missouri | $47.42 | Unavailable |
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.
How the rate is built · G0076
RVUs × geographic indexes × conversion factor
Work1.01
1.01 RVUs× 1.000 GPCI
Practice expense0.43
0.43 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.4800
Conversion factor
$33.4009
Medicare rate
$49.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · G0076
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$49.43
Higher because the practice carries its own overhead.
G0076 compared with similar codes
Compare codes · National
4 codes, side by side
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.
G0076 billing questions
When should G0076 be chosen instead of G0077?
Both are new-patient care-management home-visit levels. G0076 is the 20-minute level; G0077 is the 30-minute level.
Can G0076 be used for an established patient?
No. G0076 is identified for a new patient; the 20-minute established-patient home-visit level is G0081.
What should the note support?
Document the home setting, the patient's new-patient classification, the care-management work performed, and the time supporting the 20-minute level.
Does 20 minutes mean 20 units?
No. The 20-minute figure identifies the service-time level, not a number of units. Report the service at the level supported by the documented time.
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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