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

Reports a 60-minute home care-management visit for an established patient, with the documented time and work supporting this specific service level.

CMS RVU26DEffective Oct 1, 2026One payment locality795 Medicare services in 2024

In New Mexico, Medicare pays $178.60 for G0084 in the office.

$178.60Office (non-facility)
Not available in this settingHospital or facility
−2.1%vs the national office rate ($182.37)

Check a contract rate as a % of Medicare · G0084 nationwide

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

We’ll open G0084 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What G0084 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How New Mexico compares for G0084

Across 109 of 109 payment localities, the office rate for G0084 runs from $169.34 in Arkansas to $237.76 in Alaska. New Mexico pays $178.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0084 in New Mexico vs other payment areas
  1. New Mexico · this page$178.60
  2. Los Angeles, CA · California$196.03+$17.43
  3. Washington, DC area · District of Columbia$200.72+$22.12
  4. Miami, FL · Florida$197.28+$18.68
  5. Chicago, IL · Illinois$193.84+$15.24
  6. Manhattan, NY · New York$204.58+$25.98
  7. Alaska · Alaska$237.76+$59.16

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

G0084 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$170.79—
ArkansasArkansas$169.34—
ArizonaArizona$179.21—
Bakersfield, CACalifornia$187.54—
Chico, CACalifornia$186.73—
El Centro, CACalifornia$186.77—
Fresno, CACalifornia$186.73—
Hanford, CACalifornia$186.73—

G0084 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$169.34

$237.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0084 office rate range by state
State / territoryOffice rate rangeLocalities
AK$237.761
AL$170.791
AR$169.341
AZ$179.211
CA$186.73–$219.3429
CO$186.081
CT$191.231
DC$200.721
DE$181.331
FL$183.55–$197.283
GA$176.91–$185.352
GU$187.871
HI$187.871
IA$172.031
ID$172.961
IL$181.24–$193.844
IN$173.521
KS$172.171
KY$174.491
LA$174.58–$179.642
MA$185.93–$198.552
MD$183.58–$200.723
ME$174.15–$178.832
MI$177.77–$185.602
MN$178.601
MO$173.22–$179.273
MS$171.271
MT$182.351
NC$175.131
ND$177.611
NE$172.391
NH$184.021
NJ$193.49–$200.182
NM$178.601
NV$181.101
NY$176.75–$208.505
OH$176.801
OK$173.651
OR$179.73–$189.262
PA$176.61–$188.542
PR$182.961
RI$185.721
SC$176.241
SD$177.051
TN$172.761
TX$175.97–$185.818
UT$177.661
VA$178.91–$200.722
VI$182.961
VT$177.761
WA$185.31–$201.092
WI$174.101
WV$177.341
WY$180.281

See G0084 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,076

Code
G0084
Physician work
3.28
Practice expense
1.94
Malpractice
0.24

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for G0084 in New Mexico
ComponentRVULocality factorAdjusted
Physician work3.28× 1.0003.2800
Practice expense1.94× 0.9171.7790
Malpractice0.24× 1.2010.2882
Total RVUs5.3472
Conversion factor× 33.4009

Office rate, New Mexico$178.60

Office: (3.28 × 1 + 1.94 × 0.917 + 0.24 × 1.201) × $33.4009 = $178.60

Open G0084 in the RVU calculator

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.

How G0084 has changed in New Mexico

G0084 · Office / nonfacility

$178.60

Effective 2026-10-01

The base rate is $14.74 higher than on 2025-10-01, moving from $163.86 to $178.60 (9.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $163.86changed to$178.60

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.67 changed to 1.94
    • Malpractice RVU 0.23 changed to 0.24
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $169.32changed to$163.86

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.68 changed to 1.67
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $166.56changed to$169.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $171.49changed to$166.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.65 changed to 1.68
    • Malpractice RVU 0.25 changed to 0.24
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $173.02changed to$171.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.65
    • Malpractice RVU 0.23 changed to 0.25
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $174.05changed to$173.02

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.22 changed to 0.23

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $181.26changed to$174.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.56 changed to 1.62
    • Malpractice RVU 0.27 changed to 0.22
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $178.31changed to$181.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.54 changed to 1.56
    • Malpractice RVU 0.20 changed to 0.27
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$178.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$178.60Not available in this settingRVU26D
2026-07-01$178.60Not available in this settingRVU26C
2026-04-01$178.60Not available in this settingRVU26B
2026-01-01$178.60Not available in this settingRVU26A
2025-10-01$163.86Not available in this settingRVU25D
2025-07-01$163.86Not available in this settingRVU25C
2025-04-01$163.86Not available in this settingRVU25B
2025-01-01$163.86Not available in this settingRVU25A
2024-10-01$169.32Not available in this settingRVU24D
2024-07-01$169.32Not available in this settingRVU24C
2024-04-01$169.32Not available in this settingRVU24B
2024-03-09$169.32Not available in this settingRVU24AR
2024-01-01$166.56Not available in this settingRVU24A
2023-10-01$171.49Not available in this settingRVU23D
2023-07-01$171.49Not available in this settingRVU23C
2023-04-01$171.49Not available in this settingRVU23B
2023-01-01$171.49Not available in this settingRVU23A
2022-10-01$173.02Not available in this settingRVU22D
2022-07-01$173.02Not available in this settingRVU22C
2022-04-01$173.02Not available in this settingRVU22B
2022-01-01$173.02Not available in this settingRVU22A
2021-10-01$174.05Not available in this settingRVU21D
2021-07-01$174.05Not available in this settingRVU21C
2021-04-01$174.05Not available in this settingRVU21B
2021-01-01$174.05Not available in this settingRVU21A
2020-10-01$181.26Not available in this settingRVU20D
2020-07-01$181.26Not available in this settingRVU20C
2020-04-01$181.26Not available in this settingRVU20B
2020-01-01$181.26Not available in this settingRVU20A
2019-10-01$178.31Not available in this settingRVU19D
2019-07-01$178.31Not available in this settingRVU19C
2019-04-01$178.31Not available in this settingRVU19B
2019-01-01$178.31Not available in this settingRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price G0084 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

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
RVUs for G0084PPRRVU2026_Oct_nonQPP.csv, line 15,076 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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