HCPCS code G0077: Home care management, new patient, 30 minutes2026 Medicare rate & RVUs

Medicare pays $74.48 for G0077 nationally in the office. Local office rates run $70.34–$100.21.

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

What G0077 covers

G0077 represents a care management visit delivered in the patient’s home for someone new to the clinician or practice under the applicable new-patient classification. The service is distinguished by its home setting and 30-minute level; it is not simply a label for any home-based evaluation. It may be used when a clinician provides care management directly to a new patient in the home, rather than preparing a home care plan under a separate code.

Report the new-patient code that matches the documented service time: G0077 is the 30-minute level. The record should support the home setting, the patient’s new-patient status, the time spent, and the care management work performed. CMS assigns this code physician-work, practice-expense, and malpractice relative values in the Physician Fee Schedule.

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 G0077 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

G0077 rates by state

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

How the G0077 rate is calculated

Each of G0077’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 G0077

G0077 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.

G0077 compared with similar codes

How to choose

G0076Home care managementNew patient, 20 minutes

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

G0078Home care managementNew patient, 45 minutes

G0078 is the 45-minute new-patient level. Use G0077 for the 30-minute level when the documented service supports it.

G0082Care managementEstablished patient, 30 minutes

Both are 30-minute home care management visits. G0077 is for a new patient; G0082 is for an established patient.

Codes related to G0077

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