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

Reports a 20-minute care-management home visit for a new patient, distinguishing it from longer new-patient levels and established-patient home visits.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Virgin Islands, VI, Medicare pays $49.57 for G0076 in the office.

$49.57Office (non-facility)
Not available in this settingHospital or facility
+0.3%vs the national office rate ($49.43)

Check a contract rate as a % of Medicare · G0076 nationwide

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

We’ll open G0076 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virgin Islands, VI
  2. What G0076 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Virgin Islands, VI compares for G0076

Across 109 of 109 payment localities, the office rate for G0076 runs from $46.76 in Arkansas to $66.63 in Alaska. Virgin Islands, VI pays $49.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0076 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$49.57
  2. Los Angeles, CA · California$53.00+$3.43
  3. Washington, DC area · District of Columbia$53.96+$4.39
  4. Miami, FL · Florida$52.06+$2.49
  5. Chicago, IL · Illinois$51.47+$1.90
  6. Manhattan, NY · New York$54.70+$5.13
  7. Alaska · Alaska$66.63+$17.06

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

G0076 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$47.06—
ArkansasArkansas$46.76—
ArizonaArizona$48.80—
Bakersfield, CACalifornia$50.93—
Chico, CACalifornia$50.77—
El Centro, CACalifornia$50.77—
Fresno, CACalifornia$50.77—
Hanford, CACalifornia$50.77—

G0076 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$46.76

$66.63

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0076 office rate range by state
State / territoryOffice rate rangeLocalities
AK$66.631
AL$47.061
AR$46.761
AZ$48.801
CA$50.77–$58.8729
CO$50.461
CT$51.491
DC$53.961
DE$49.291
FL$49.47–$52.063
GA$48.14–$50.032
GU$50.841
HI$50.841
IA$47.411
ID$47.581
IL$48.94–$51.474
IN$47.701
KS$47.391
KY$47.731
LA$47.73–$48.772
MA$50.46–$53.462
MD$49.83–$53.963
ME$47.78–$48.812
MI$48.36–$49.852
MN$48.911
MO$47.42–$48.753
MS$47.091
MT$49.431
NC$47.991
ND$48.641
NE$47.501
NH$49.861
NJ$52.23–$53.952
NM$48.511
NV$49.221
NY$48.32–$55.455
OH$48.191
OK$47.601
OR$48.98–$51.232
PA$48.18–$50.892
PR$49.571
RI$50.401
SC$48.141
SD$48.551
TN$47.511
TX$48.05–$50.188
UT$48.441
VA$48.80–$53.962
VI$49.571
VT$48.631
WA$50.31–$54.142
WI$47.911
WV$48.131
WY$49.091

See G0076 in every payment locality

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

Office or facility?

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.

The exact Virgin Islands, VI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,068

Code
G0076
Physician work
1.01
Practice expense
0.43
Malpractice
0.04

GPCI2026.csv

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for G0076 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work1.01× 1.0001.0100
Practice expense0.43× 1.0110.4347
Malpractice0.04× 0.9850.0394
Total RVUs1.4841
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$49.57

Office: (1.01 × 1 + 0.43 × 1.011 + 0.04 × 0.985) × $33.4009 = $49.57

Open G0076 in the RVU calculator

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.

How G0076 has changed in Virgin Islands, VI

G0076 · Office / nonfacility

$49.57

Effective 2026-10-01

The base rate is $1.62 higher than on 2025-10-01, moving from $47.95 to $49.57 (3.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $47.95changed to$49.57

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $49.33changed to$47.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.42 changed to 0.43
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $48.53changed to$49.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $49.22changed to$48.53

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.40 changed to 0.42
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $49.14changed to$49.22

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $54.10changed to$49.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.50 changed to 0.40
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $54.55changed to$54.10

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $57.12changed to$54.55

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.48 changed to 0.50
    • Malpractice RVU 0.09 changed to 0.05
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $55.96changed to$57.12

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.06 changed to 0.09
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    No ratechanged to$55.96

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$49.57Not available in this settingRVU26D
2026-07-01$49.57Not available in this settingRVU26C
2026-04-01$49.57Not available in this settingRVU26B
2026-01-01$49.57Not available in this settingRVU26A
2025-10-01$47.95Not available in this settingRVU25D
2025-07-01$47.95Not available in this settingRVU25C
2025-04-01$47.95Not available in this settingRVU25B
2025-01-01$47.95Not available in this settingRVU25A
2024-10-01$49.33Not available in this settingRVU24D
2024-07-01$49.33Not available in this settingRVU24C
2024-04-01$49.33Not available in this settingRVU24B
2024-03-09$49.33Not available in this settingRVU24AR
2024-01-01$48.53Not available in this settingRVU24A
2023-10-01$49.22Not available in this settingRVU23D
2023-07-01$49.14Not available in this settingRVU23C
2023-04-01$49.14Not available in this settingRVU23B
2023-01-01$49.14Not available in this settingRVU23A
2022-10-01$54.10Not available in this settingRVU22D
2022-07-01$54.10Not available in this settingRVU22C
2022-04-01$54.10Not available in this settingRVU22B
2022-01-01$54.10Not available in this settingRVU22A
2021-10-01$54.55Not available in this settingRVU21D
2021-07-01$54.55Not available in this settingRVU21C
2021-04-01$54.55Not available in this settingRVU21B
2021-01-01$54.55Not available in this settingRVU21A
2020-10-01$57.12Not available in this settingRVU20D
2020-07-01$57.12Not available in this settingRVU20C
2020-04-01$57.12Not available in this settingRVU20B
2020-01-01$57.12Not available in this settingRVU20A
2019-10-01$55.96Not available in this settingRVU19D
2019-07-01$55.96Not available in this settingRVU19C
2019-04-01$55.96Not available in this settingRVU19B
2019-01-01$55.96Not available in this settingRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price G0076 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

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

Show the CMS file lines behind this rate
RVUs for G0076PPRRVU2026_Oct_nonQPP.csv, line 15,068 (RVU26D)
Geographic factors for Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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