HCPCS code G0084: Home care management, established patient, 60 minutes2026 Medicare rate & RVUs

Medicare pays $182.37 for G0084 nationally in the office. Local office rates run $169.34–$237.76.

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

What G0084 covers

This code represents an in-person care-management visit in the patient’s home for someone already established with the practitioner. A physician or other qualified practitioner may use the visit to assess current needs, review ongoing care, and address management or coordination issues. The 60-minute level distinguishes it from shorter and longer established-patient home care-management services.

Report the code when the patient is established, the service occurs in the home, and the documented work supports the 60-minute level. Record the visit time and the care-management activities performed. The Medicare physician fee schedule valuation for this code includes work, practice-expense, and malpractice relative values. Select the corresponding new-patient or established-patient level based on the patient’s status and the service provided.

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 G0084 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

G0084 rates by state

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

How the G0084 rate is calculated

Each of G0084’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 G0084

G0084 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.

G0084 compared with similar codes

How to choose

G0083Care management visitEstablished patient, 45 minutes

G0083 represents the 45-minute established-patient home care-management level; G0084 is the 60-minute level.

G0085Care management visitEstablished patient, 75 minutes

G0085 represents the 75-minute established-patient home care-management level; G0084 is the 60-minute level.

G0079Care management visitNew patient, 60 minutes

Both identify a 60-minute home care-management visit. G0079 is for a new patient, while G0084 is for an established patient.

Codes related to G0084

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