HCPCS code G0081: Home care visit, established patient, 20 minutes2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $48.48 for G0081 in the office.

Check a contract rate as a % of Medicare · G0081 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 G0081 covers

G0081 describes a care management visit in the established patient's home at the 20-minute level. The clinician addresses the patient's ongoing care needs during an in-home encounter, such as reviewing the current management approach and coordinating care. The code is distinct from a home care-plan service and from a routine office visit; the record should make clear that the encounter occurred in the home and involved care management.

Select G0081 when the patient is established and the documented service supports this 20-minute level. Record the patient's established status, home setting, work performed, and time attributable to the service. CMS assigns the code work, practice-expense, and malpractice relative value units under the physician fee schedule. The submitted record should support the selected time level; the descriptor alone does not establish additional units.

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 New Mexico compares for G0081

Across 109 of 109 payment localities, the office rate for G0081 runs from $46.71 in Arkansas to $66.49 in Alaska. New Mexico pays $48.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G0081 rates by state

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

See G0081 in every payment locality

How the G0081 rate is calculated

Each of G0081’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 G0081

G0081 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 G0081

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

How G0081 has changed in New Mexico

Price G0081 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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