HCPCS code G0087: Care management, home care plan, 60 minutes2026 Medicare rate & RVUs

Medicare pays $103.21 for G0087 nationally in the office. Local office rates run $95.52–$133.67.

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

What G0087 covers

G0087 represents clinician work focused on managing a patient’s home care plan. A physician or other qualified health care professional may review the plan, coordinate care with the home health team, address changes in the patient’s needs, and document follow-up related to the plan. The service is distinct from a home visit: its focus is care-plan management, not an in-person evaluation at the patient’s residence.

Report this code when the documented care-management work supports the 60-minute service interval. The record should identify the plan being managed, the coordination or review performed, the time spent, and the connection between the work and the patient’s home-based care. G0086 describes the corresponding 30-minute service. Under the Medicare Physician Fee Schedule, CMS assigns work, practice expense, and malpractice relative value units to G0087.

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 G0087 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

G0087 rates by state

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

How the G0087 rate is calculated

Each of G0087’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 G0087

G0087 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.

G0087 compared with similar codes

How to choose

G0086Care managementHome care plan, 30 minutes

G0086 is the 30-minute home care plan management service; G0087 is the 60-minute service.

G0079Care management visitNew patient, 60 minutes

G0079 describes a 60-minute home visit for a new patient. G0087 describes management work centered on the home care plan.

G0084Home care managementEstablished patient, 60 minutes

G0084 is a 60-minute home visit for an established patient; G0087 is care-plan management rather than a home evaluation.

Codes related to G0087

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