HCPCS code G0087: Care management, home care plan, 60 minutes2026 Medicare rate & RVUs in New Mexico
Reports 60 minutes of clinician care management focused on a patient’s home care plan, rather than a time-based home visit.
In New Mexico, Medicare pays $100.96 for G0087 in the office.
Check a contract rate as a % of Medicare · G0087 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How New Mexico compares for G0087
Across 109 of 109 payment localities, the office rate for G0087 runs from $95.52 in Arkansas to $133.67 in Alaska. New Mexico pays $100.96. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$100.96
- Los Angeles, CA · California$111.13+$10.17
- Washington, DC area · District of Columbia$113.82+$12.86
- Miami, FL · Florida$111.93+$10.97
- Chicago, IL · Illinois$109.88+$8.92
- Manhattan, NY · New York$116.02+$15.06
- Alaska · Alaska$133.67+$32.71
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $96.38 | — |
| ArkansasArkansas | $95.52 | — |
| ArizonaArizona | $101.34 | — |
| Bakersfield, CACalifornia | $106.21 | — |
| Chico, CACalifornia | $105.75 | — |
| El Centro, CACalifornia | $105.77 | — |
| Fresno, CACalifornia | $105.75 | — |
| Hanford, CACalifornia | $105.75 | — |
| Madera, CACalifornia | $105.75 | — |
| Merced, CACalifornia | $105.75 | — |
| Modesto, CACalifornia | $105.75 | — |
| Napa, CACalifornia | $116.91 | — |
| Oxnard, CACalifornia | $110.12 | — |
| Redding, CACalifornia | $105.75 | — |
| Rest of CaliforniaCalifornia | $105.75 | — |
| Riverside, CACalifornia | $107.29 | — |
| Sacramento, CACalifornia | $109.46 | — |
| Salinas, CACalifornia | $109.01 | — |
| San Diego, CACalifornia | $110.40 | — |
| Marin County, CACalifornia | $122.14 | — |
| San Francisco, CACalifornia | $121.98 | — |
| San Benito County, CACalifornia | $124.63 | — |
| Santa Clara County, CACalifornia | $123.98 | — |
| San Luis Obispo, CACalifornia | $107.40 | — |
| Santa Cruz, CACalifornia | $110.56 | — |
| Santa Maria, CACalifornia | $109.10 | — |
| Santa Rosa, CACalifornia | $111.60 | — |
| Stockton, CACalifornia | $105.75 | — |
| Vallejo, CACalifornia | $116.68 | — |
| Visalia, CACalifornia | $105.75 | — |
| Yuba City, CACalifornia | $105.75 | — |
| ColoradoColorado | $105.36 | — |
| ConnecticutConnecticut | $108.35 | — |
| DelawareDelaware | $102.58 | — |
| Fort Lauderdale, FLFlorida | $107.49 | — |
| Rest of FloridaFlorida | $103.87 | — |
| Atlanta, GAGeorgia | $104.94 | — |
| Rest of GeorgiaGeorgia | $99.96 | — |
| Hawaii, Guam, HIHawaii | $106.50 | — |
| IowaIowa | $97.12 | — |
| IdahoIdaho | $97.67 | — |
| East St. Louis, ILIllinois | $104.88 | — |
| Rest of IllinoisIllinois | $102.50 | — |
| Suburban Chicago, ILIllinois | $108.28 | — |
| IndianaIndiana | $98.00 | — |
| KansasKansas | $97.20 | — |
| KentuckyKentucky | $98.55 | — |
| New Orleans, LALouisiana | $101.58 | — |
| Rest of LouisianaLouisiana | $98.60 | — |
| Metropolitan Boston, MAMassachusetts | $112.61 | — |
| Rest of MassachusettsMassachusetts | $105.26 | — |
| Baltimore area, MDMaryland | $108.08 | — |
| Rest of MarylandMaryland | $103.89 | — |
| Rest of MaineMaine | $98.37 | — |
| Southern Maine, MEMaine | $101.14 | — |
| Detroit, MIMichigan | $105.07 | — |
| Rest of MichiganMichigan | $100.47 | — |
| MinnesotaMinnesota | $101.03 | — |
| Metropolitan Kansas City, MOMissouri | $100.76 | — |
| Metropolitan St. Louis, MOMissouri | $101.37 | — |
| Rest of MissouriMissouri | $97.79 | — |
| MississippiMississippi | $96.65 | — |
| MontanaMontana | $103.20 | — |
| North CarolinaNorth Carolina | $98.95 | — |
| North DakotaNorth Dakota | $100.43 | — |
| NebraskaNebraska | $97.34 | — |
| New HampshireNew Hampshire | $104.20 | — |
| Northern New JerseyNew Jersey | $113.46 | — |
| Rest of New JerseyNew Jersey | $109.60 | — |
| NevadaNevada | $102.47 | — |
| NYC suburbs and Long Island, NYNew York | $118.32 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $110.55 | — |
| Queens, NYNew York | $116.11 | — |
| Rest of New YorkNew York | $99.90 | — |
| OhioOhio | $99.90 | — |
| OklahomaOklahoma | $98.06 | — |
| Portland, OROregon | $107.24 | — |
| Rest of OregonOregon | $101.67 | — |
| Metropolitan Philadelphia, PAPennsylvania | $106.77 | — |
| Rest of PennsylvaniaPennsylvania | $99.80 | — |
| Puerto RicoPuerto Rico | $103.56 | — |
| Rhode IslandRhode Island | $105.11 | — |
| South CarolinaSouth Carolina | $99.59 | — |
| South DakotaSouth Dakota | $100.10 | — |
| TennesseeTennessee | $97.55 | — |
| Austin, TXTexas | $105.02 | — |
| Beaumont, TXTexas | $99.42 | — |
| Brazoria, TXTexas | $102.32 | — |
| Dallas, TXTexas | $102.93 | — |
| Fort Worth, TXTexas | $102.61 | — |
| Galveston, TXTexas | $102.62 | — |
| Houston, TXTexas | $105.18 | — |
| Rest of TexasTexas | $100.80 | — |
| UtahUtah | $100.43 | — |
| VirginiaVirginia | $101.18 | — |
| Virgin Islands, VIUnited States Virgin Islands | $103.56 | — |
| VermontVermont | $100.51 | — |
| Rest of WashingtonWashington | $104.91 | — |
| King County, WAWashington | $114.08 | — |
| WisconsinWisconsin | $98.36 | — |
| West VirginiaWest Virginia | $100.19 | — |
| WyomingWyoming | $101.99 | — |
G0087 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.
$95.52
$133.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $133.67 | 1 |
| AL | $96.38 | 1 |
| AR | $95.52 | 1 |
| AZ | $101.34 | 1 |
| CA | $105.75–$124.63 | 29 |
| CO | $105.36 | 1 |
| CT | $108.35 | 1 |
| DC | $113.82 | 1 |
| DE | $102.58 | 1 |
| FL | $103.87–$111.93 | 3 |
| GA | $99.96–$104.94 | 2 |
| GU | $106.50 | 1 |
| HI | $106.50 | 1 |
| IA | $97.12 | 1 |
| ID | $97.67 | 1 |
| IL | $102.50–$109.88 | 4 |
| IN | $98.00 | 1 |
| KS | $97.20 | 1 |
| KY | $98.55 | 1 |
| LA | $98.60–$101.58 | 2 |
| MA | $105.26–$112.61 | 2 |
| MD | $103.89–$113.82 | 3 |
| ME | $98.37–$101.14 | 2 |
| MI | $100.47–$105.07 | 2 |
| MN | $101.03 | 1 |
| MO | $97.79–$101.37 | 3 |
| MS | $96.65 | 1 |
| MT | $103.20 | 1 |
| NC | $98.95 | 1 |
| ND | $100.43 | 1 |
| NE | $97.34 | 1 |
| NH | $104.20 | 1 |
| NJ | $109.60–$113.46 | 2 |
| NM | $100.96 | 1 |
| NV | $102.47 | 1 |
| NY | $99.90–$118.32 | 5 |
| OH | $99.90 | 1 |
| OK | $98.06 | 1 |
| OR | $101.67–$107.24 | 2 |
| PA | $99.80–$106.77 | 2 |
| PR | $103.56 | 1 |
| RI | $105.11 | 1 |
| SC | $99.59 | 1 |
| SD | $100.10 | 1 |
| TN | $97.55 | 1 |
| TX | $99.42–$105.18 | 8 |
| UT | $100.43 | 1 |
| VA | $101.18–$113.82 | 2 |
| VI | $103.56 | 1 |
| VT | $100.51 | 1 |
| WA | $104.91–$114.08 | 2 |
| WI | $98.36 | 1 |
| WV | $100.19 | 1 |
| WY | $101.99 | 1 |
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.
How the rate is built · G0087
RVUs × geographic indexes × conversion factor
Work1.80
1.80 RVUs× 1.000 GPCI
Practice expense1.15
1.15 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
3.0900
Conversion factor
$33.4009
Medicare rate
$103.21
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
15,079
- Code
- G0087
- Physician work
- 1.80
- Practice expense
- 1.15
- Malpractice
- 0.14
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.80 | × 1.000 | 1.8000 |
| Practice expense | 1.15 | × 0.917 | 1.0545 |
| Malpractice | 0.14 | × 1.201 | 0.1681 |
| Total RVUs | 3.0227 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$100.96
Office: (1.8 × 1 + 1.15 × 0.917 + 0.14 × 1.201) × $33.4009 = $100.96
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.
Place of service · G0087
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$103.21
Higher because the practice carries its own overhead.
How G0087 has changed in New Mexico
G0087 · Office / nonfacility
$100.96
Effective 2026-10-01
The base rate is $3.07 higher than on 2025-10-01, moving from $97.89 to $100.96 (3.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$97.89changed to$100.96
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.17 changed to 1.15
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$100.74changed to$97.89
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$99.10changed to$100.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$102.00changed to$99.10
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.16 changed to 1.17
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$104.22changed to$102.00
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.17 changed to 1.16
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$104.86changed to$104.22
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.15 changed to 1.17
- Malpractice RVU 0.15 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$107.33changed to$104.86
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.12 changed to 1.15
- Malpractice RVU 0.13 changed to 0.15
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$107.65changed to$107.33
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.14 changed to 1.12
- Malpractice RVU 0.11 changed to 0.13
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$107.65
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $100.96 | Not available in this setting | RVU26D |
| 2026-07-01 | $100.96 | Not available in this setting | RVU26C |
| 2026-04-01 | $100.96 | Not available in this setting | RVU26B |
| 2026-01-01 | $100.96 | Not available in this setting | RVU26A |
| 2025-10-01 | $97.89 | Not available in this setting | RVU25D |
| 2025-07-01 | $97.89 | Not available in this setting | RVU25C |
| 2025-04-01 | $97.89 | Not available in this setting | RVU25B |
| 2025-01-01 | $97.89 | Not available in this setting | RVU25A |
| 2024-10-01 | $100.74 | Not available in this setting | RVU24D |
| 2024-07-01 | $100.74 | Not available in this setting | RVU24C |
| 2024-04-01 | $100.74 | Not available in this setting | RVU24B |
| 2024-03-09 | $100.74 | Not available in this setting | RVU24AR |
| 2024-01-01 | $99.10 | Not available in this setting | RVU24A |
| 2023-10-01 | $102.00 | Not available in this setting | RVU23D |
| 2023-07-01 | $102.00 | Not available in this setting | RVU23C |
| 2023-04-01 | $102.00 | Not available in this setting | RVU23B |
| 2023-01-01 | $102.00 | Not available in this setting | RVU23A |
| 2022-10-01 | $104.22 | Not available in this setting | RVU22D |
| 2022-07-01 | $104.22 | Not available in this setting | RVU22C |
| 2022-04-01 | $104.22 | Not available in this setting | RVU22B |
| 2022-01-01 | $104.22 | Not available in this setting | RVU22A |
| 2021-10-01 | $104.86 | Not available in this setting | RVU21D |
| 2021-07-01 | $104.86 | Not available in this setting | RVU21C |
| 2021-04-01 | $104.86 | Not available in this setting | RVU21B |
| 2021-01-01 | $104.86 | Not available in this setting | RVU21A |
| 2020-10-01 | $107.33 | Not available in this setting | RVU20D |
| 2020-07-01 | $107.33 | Not available in this setting | RVU20C |
| 2020-04-01 | $107.33 | Not available in this setting | RVU20B |
| 2020-01-01 | $107.33 | Not available in this setting | RVU20A |
| 2019-10-01 | $107.65 | Not available in this setting | RVU19D |
| 2019-07-01 | $107.65 | Not available in this setting | RVU19C |
| 2019-04-01 | $107.65 | Not available in this setting | RVU19B |
| 2019-01-01 | $107.65 | Not available in this setting | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
G0087 billing questions
How is G0087 different from G0086?
Both describe management focused on a home care plan. G0087 is the 60-minute service; G0086 is the 30-minute service.
Can G0087 be reported for a home visit?
G0087 is for care-plan management, not an in-person home visit. Use a home-visit code when the service is a patient evaluation at home.
What documentation supports G0087?
Document the home care plan, the management or coordination work performed, the time spent, and how that work related to the patient’s care.
What time should the record support?
The code identifies a 60-minute service. The record should support the time and care-management work reported under G0087.
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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