HCPCS code G0078: Home care management, new patient, 45 minutes2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $115.95 for G0078 in the office.

Check a contract rate as a % of Medicare · G0078 nationwide

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

What G0078 covers

G0078 represents a care-management home visit for a new patient, with 45 minutes as its time designation. The service takes place in the patient’s home and focuses on care-management work during the visit. It is distinct from an office encounter and from other home-visit levels that specify a different patient category or duration.

Report G0078 when the record supports the new-patient category, home setting, care-management service, and 45-minute level. Documentation should identify the care needs addressed, the work performed during the visit, and the time supporting the selected level. CMS assigns relative value units for physician work, practice expense, and malpractice; the practice-expense valuation includes office and facility settings.

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 Oklahoma compares for G0078

Across 109 of 109 payment localities, the office rate for G0078 runs from $113.83 in Arkansas to $162.76 in Alaska. Oklahoma pays $115.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G0078 rates by state

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

See G0078 in every payment locality

How the G0078 rate is calculated

Each of G0078’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 G0078

G0078 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.

Codes related to G0078

Related codes aren’t interchangeable: bill the code that matches the service performed.

How G0078 has changed in Oklahoma

Price G0078 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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