HCPCS code G0084: Home care management, established patient, 60 minutes2026 Medicare rate & RVUs in Missouri
Reports a 60-minute home care-management visit for an established patient, with the documented time and work supporting this specific service level.
Medicare pays $173.22–$179.27 for G0084 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.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$173.22 to $179.27
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $178.23 | Unavailable |
| Metropolitan St. Louis, MO | $179.27 | Unavailable |
| Rest of Missouri | $173.22 | Unavailable |
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.
How the rate is built · G0084
RVUs × geographic indexes × conversion factor
Work3.28
3.28 RVUs× 1.000 GPCI
Practice expense1.94
1.94 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
5.4600
Conversion factor
$33.4009
Medicare rate
$182.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · G0084
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$182.37
Higher because the practice carries its own overhead.
G0084 compared with similar codes
Compare codes · National
4 codes, side by side
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.
G0084 billing questions
How does this code differ from G0083 and G0085?
Those codes are established-patient home care-management levels for 45 and 75 minutes, respectively. Use G0084 when the documented service supports the 60-minute level.
When should G0079 be considered instead?
G0079 is the 60-minute home care-management level for a new patient. G0084 is for an established patient.
What should the documentation support?
Document the home setting, established-patient status, time, and care-management work performed. The record should support selecting the 60-minute level.
Is G0084 the same as a home care-plan service?
No. G0084 identifies an established-patient home care-management visit at the 60-minute level; G0086 and G0087 describe home care-plan services.
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
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