HCPCS code G0077: Home care management, new patient, 30 minutes2026 Medicare rate & RVUs in Missouri
G0077 reports a 30-minute care management home visit for a new patient, with the documented service time and patient status guiding code selection.
Medicare pays $71.47–$73.46 for G0077 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.
Your location
On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$71.47 to $73.46
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $73.13 | Unavailable |
| Metropolitan St. Louis, MO | $73.46 | Unavailable |
| Rest of Missouri | $71.47 | Unavailable |
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.
How the rate is built · G0077
RVUs × geographic indexes × conversion factor
Work1.52
1.52 RVUs× 1.000 GPCI
Practice expense0.64
0.64 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
2.2300
Conversion factor
$33.4009
Medicare rate
$74.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · G0077
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$74.48
Higher because the practice carries its own overhead.
G0077 compared with similar codes
Compare codes · National
4 codes, side by side
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.
G0077 billing questions
How does G0077 differ from G0076 or G0078?
These are new-patient home care management levels distinguished by time. G0077 is the 30-minute level; G0076 is 20 minutes and G0078 is 45 minutes.
Can G0077 be used for an established patient?
No. G0077 is the new-patient level. The established-patient 30-minute home care management code is G0082.
What should the record support?
Document that the service took place in the patient’s home, the patient’s new-patient status, the time spent, and the care management work performed.
Is G0077 a home care plan code?
No. G0077 describes a timed home care management visit for a new patient. G0086 and G0087 are separate home care plan codes.
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
Fee sheets · Coming soon
Put G0077 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist