HCPCS code G0083: Care management visit, established patient, 45 minutes2026 Medicare rate & RVUs

Medicare pays $128.59 for G0083 nationally in the office. Local office rates run $119.60–$168.06.

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

What G0083 covers

G0083 identifies a care management visit conducted in the home of a patient already established with the billing practitioner. The encounter is reported at the 45-minute level. It is distinct from a home care plan service, which has its own codes, and from the corresponding home-visit services for new patients. The code is suited to care management delivered during an in-home encounter rather than an office visit.

Select the established-patient code that matches the documented time level; use G0083 for the 45-minute level, not the neighboring 30- or 60-minute levels. The record should support the patient's established status, the home setting, the care management performed, and the time supporting the selected level. CMS assigns the service work, practice-expense, and malpractice relative value units 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 G0083 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

G0083 rates by state

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

How the G0083 rate is calculated

Each of G0083’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 G0083

G0083 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.

G0083 compared with similar codes

How to choose

G0078Home care managementNew patient, 45 minutes

Both represent 45-minute care management home visits; G0078 is for a new patient, while G0083 is for an established patient.

G0082Care managementEstablished patient, 30 minutes

G0082 is the 30-minute established-patient home-visit level. Use G0083 when the documented service supports the 45-minute level.

G0084Home care managementEstablished patient, 60 minutes

G0084 is the 60-minute established-patient home-visit level, rather than G0083's 45-minute level.

G0086Care managementHome care plan, 30 minutes

G0086 describes a home care plan service at a 30-minute level, not an established-patient care management home visit.

Codes related to G0083

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