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.
In Virgin Islands, VI, Medicare pays $49.57 for G0076 in the office.
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.
On this page 11 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.
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.
- Virgin Islands, VI · this page$49.57
- Los Angeles, CA · California$53.00+$3.43
- Washington, DC area · District of Columbia$53.96+$4.39
- Miami, FL · Florida$52.06+$2.49
- Chicago, IL · Illinois$51.47+$1.90
- Manhattan, NY · New York$54.70+$5.13
- 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
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $50.77 | — |
| Merced, CACalifornia | $50.77 | — |
| Modesto, CACalifornia | $50.77 | — |
| Napa, CACalifornia | $55.47 | — |
| Oxnard, CACalifornia | $52.49 | — |
| Redding, CACalifornia | $50.77 | — |
| Rest of CaliforniaCalifornia | $50.77 | — |
| Riverside, CACalifornia | $51.22 | — |
| Sacramento, CACalifornia | $52.37 | — |
| Salinas, CACalifornia | $52.14 | — |
| San Diego, CACalifornia | $52.65 | — |
| Marin County, CACalifornia | $57.80 | — |
| San Francisco, CACalifornia | $57.76 | — |
| San Benito County, CACalifornia | $58.87 | — |
| Santa Clara County, CACalifornia | $58.69 | — |
| San Luis Obispo, CACalifornia | $51.38 | — |
| Santa Cruz, CACalifornia | $52.61 | — |
| Santa Maria, CACalifornia | $52.14 | — |
| Santa Rosa, CACalifornia | $53.10 | — |
| Stockton, CACalifornia | $50.77 | — |
| Vallejo, CACalifornia | $55.40 | — |
| Visalia, CACalifornia | $50.77 | — |
| Yuba City, CACalifornia | $50.77 | — |
| ColoradoColorado | $50.46 | — |
| ConnecticutConnecticut | $51.49 | — |
| DelawareDelaware | $49.29 | — |
| Fort Lauderdale, FLFlorida | $50.70 | — |
| Rest of FloridaFlorida | $49.47 | — |
| Atlanta, GAGeorgia | $50.03 | — |
| Rest of GeorgiaGeorgia | $48.14 | — |
| Hawaii, Guam, HIHawaii | $50.84 | — |
| IowaIowa | $47.41 | — |
| IdahoIdaho | $47.58 | — |
| East St. Louis, ILIllinois | $49.64 | — |
| Rest of IllinoisIllinois | $48.94 | — |
| Suburban Chicago, ILIllinois | $51.09 | — |
| IndianaIndiana | $47.70 | — |
| KansasKansas | $47.39 | — |
| KentuckyKentucky | $47.73 | — |
| New Orleans, LALouisiana | $48.77 | — |
| Rest of LouisianaLouisiana | $47.73 | — |
| Metropolitan Boston, MAMassachusetts | $53.46 | — |
| Rest of MassachusettsMassachusetts | $50.46 | — |
| Baltimore area, MDMaryland | $51.34 | — |
| Rest of MarylandMaryland | $49.83 | — |
| Rest of MaineMaine | $47.78 | — |
| Southern Maine, MEMaine | $48.81 | — |
| Detroit, MIMichigan | $49.85 | — |
| Rest of MichiganMichigan | $48.36 | — |
| MinnesotaMinnesota | $48.91 | — |
| Metropolitan Kansas City, MOMissouri | $48.53 | — |
| Metropolitan St. Louis, MOMissouri | $48.75 | — |
| Rest of MissouriMissouri | $47.42 | — |
| MississippiMississippi | $47.09 | — |
| MontanaMontana | $49.43 | — |
| North CarolinaNorth Carolina | $47.99 | — |
| North DakotaNorth Dakota | $48.64 | — |
| NebraskaNebraska | $47.50 | — |
| New HampshireNew Hampshire | $49.86 | — |
| Northern New JerseyNew Jersey | $53.95 | — |
| Rest of New JerseyNew Jersey | $52.23 | — |
| New MexicoNew Mexico | $48.51 | — |
| NevadaNevada | $49.22 | — |
| NYC suburbs and Long Island, NYNew York | $55.45 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $52.60 | — |
| Queens, NYNew York | $54.80 | — |
| Rest of New YorkNew York | $48.32 | — |
| OhioOhio | $48.19 | — |
| OklahomaOklahoma | $47.60 | — |
| Portland, OROregon | $51.23 | — |
| Rest of OregonOregon | $48.98 | — |
| Metropolitan Philadelphia, PAPennsylvania | $50.89 | — |
| Rest of PennsylvaniaPennsylvania | $48.18 | — |
| Puerto RicoPuerto Rico | $49.57 | — |
| Rhode IslandRhode Island | $50.40 | — |
| South CarolinaSouth Carolina | $48.14 | — |
| South DakotaSouth Dakota | $48.55 | — |
| TennesseeTennessee | $47.51 | — |
| Austin, TXTexas | $50.18 | — |
| Beaumont, TXTexas | $48.05 | — |
| Brazoria, TXTexas | $49.28 | — |
| Dallas, TXTexas | $49.49 | — |
| Fort Worth, TXTexas | $49.36 | — |
| Galveston, TXTexas | $49.37 | — |
| Houston, TXTexas | $50.11 | — |
| Rest of TexasTexas | $48.57 | — |
| UtahUtah | $48.44 | — |
| VirginiaVirginia | $48.80 | — |
| VermontVermont | $48.63 | — |
| Rest of WashingtonWashington | $50.31 | — |
| King County, WAWashington | $54.14 | — |
| WisconsinWisconsin | $47.91 | — |
| West VirginiaWest Virginia | $48.13 | — |
| WyomingWyoming | $49.09 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $66.63 | 1 |
| AL | $47.06 | 1 |
| AR | $46.76 | 1 |
| AZ | $48.80 | 1 |
| CA | $50.77–$58.87 | 29 |
| CO | $50.46 | 1 |
| CT | $51.49 | 1 |
| DC | $53.96 | 1 |
| DE | $49.29 | 1 |
| FL | $49.47–$52.06 | 3 |
| GA | $48.14–$50.03 | 2 |
| GU | $50.84 | 1 |
| HI | $50.84 | 1 |
| IA | $47.41 | 1 |
| ID | $47.58 | 1 |
| IL | $48.94–$51.47 | 4 |
| IN | $47.70 | 1 |
| KS | $47.39 | 1 |
| KY | $47.73 | 1 |
| LA | $47.73–$48.77 | 2 |
| MA | $50.46–$53.46 | 2 |
| MD | $49.83–$53.96 | 3 |
| ME | $47.78–$48.81 | 2 |
| MI | $48.36–$49.85 | 2 |
| MN | $48.91 | 1 |
| MO | $47.42–$48.75 | 3 |
| MS | $47.09 | 1 |
| MT | $49.43 | 1 |
| NC | $47.99 | 1 |
| ND | $48.64 | 1 |
| NE | $47.50 | 1 |
| NH | $49.86 | 1 |
| NJ | $52.23–$53.95 | 2 |
| NM | $48.51 | 1 |
| NV | $49.22 | 1 |
| NY | $48.32–$55.45 | 5 |
| OH | $48.19 | 1 |
| OK | $47.60 | 1 |
| OR | $48.98–$51.23 | 2 |
| PA | $48.18–$50.89 | 2 |
| PR | $49.57 | 1 |
| RI | $50.40 | 1 |
| SC | $48.14 | 1 |
| SD | $48.55 | 1 |
| TN | $47.51 | 1 |
| TX | $48.05–$50.18 | 8 |
| UT | $48.44 | 1 |
| VA | $48.80–$53.96 | 2 |
| VI | $49.57 | 1 |
| VT | $48.63 | 1 |
| WA | $50.31–$54.14 | 2 |
| WI | $47.91 | 1 |
| WV | $48.13 | 1 |
| WY | $49.09 | 1 |
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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.01 | × 1.000 | 1.0100 |
| Practice expense | 0.43 | × 1.011 | 0.4347 |
| Malpractice | 0.04 | × 0.985 | 0.0394 |
| Total RVUs | 1.4841 | ||
| 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
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.
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
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.
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.
March 9, 2024
RVU24AR
$48.53changed to$49.33
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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
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.
January 1, 2022
RVU22A
$54.55changed to$54.10
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
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.
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.
January 1, 2019
RVU19A
No ratechanged to$55.96
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $49.57 | Not available in this setting | RVU26D |
| 2026-07-01 | $49.57 | Not available in this setting | RVU26C |
| 2026-04-01 | $49.57 | Not available in this setting | RVU26B |
| 2026-01-01 | $49.57 | Not available in this setting | RVU26A |
| 2025-10-01 | $47.95 | Not available in this setting | RVU25D |
| 2025-07-01 | $47.95 | Not available in this setting | RVU25C |
| 2025-04-01 | $47.95 | Not available in this setting | RVU25B |
| 2025-01-01 | $47.95 | Not available in this setting | RVU25A |
| 2024-10-01 | $49.33 | Not available in this setting | RVU24D |
| 2024-07-01 | $49.33 | Not available in this setting | RVU24C |
| 2024-04-01 | $49.33 | Not available in this setting | RVU24B |
| 2024-03-09 | $49.33 | Not available in this setting | RVU24AR |
| 2024-01-01 | $48.53 | Not available in this setting | RVU24A |
| 2023-10-01 | $49.22 | Not available in this setting | RVU23D |
| 2023-07-01 | $49.14 | Not available in this setting | RVU23C |
| 2023-04-01 | $49.14 | Not available in this setting | RVU23B |
| 2023-01-01 | $49.14 | Not available in this setting | RVU23A |
| 2022-10-01 | $54.10 | Not available in this setting | RVU22D |
| 2022-07-01 | $54.10 | Not available in this setting | RVU22C |
| 2022-04-01 | $54.10 | Not available in this setting | RVU22B |
| 2022-01-01 | $54.10 | Not available in this setting | RVU22A |
| 2021-10-01 | $54.55 | Not available in this setting | RVU21D |
| 2021-07-01 | $54.55 | Not available in this setting | RVU21C |
| 2021-04-01 | $54.55 | Not available in this setting | RVU21B |
| 2021-01-01 | $54.55 | Not available in this setting | RVU21A |
| 2020-10-01 | $57.12 | Not available in this setting | RVU20D |
| 2020-07-01 | $57.12 | Not available in this setting | RVU20C |
| 2020-04-01 | $57.12 | Not available in this setting | RVU20B |
| 2020-01-01 | $57.12 | Not available in this setting | RVU20A |
| 2019-10-01 | $55.96 | Not available in this setting | RVU19D |
| 2019-07-01 | $55.96 | Not available in this setting | RVU19C |
| 2019-04-01 | $55.96 | Not available in this setting | RVU19B |
| 2019-01-01 | $55.96 | Not available in this setting | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
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
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