HCPCS code G0087: Care management, home care plan, 60 minutes2026 Medicare rate & RVUs in Texas
Reports 60 minutes of clinician care management focused on a patient’s home care plan, rather than a time-based home visit.
Medicare pays $99.42–$105.18 for G0087 in the office in Texas, from Beaumont, TX to Houston, TX. 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.
Your location
On this page 9 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.
Where G0087 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$99.42 to $105.18
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $105.02 | Unavailable |
| Beaumont, TX | $99.42 | Unavailable |
| Brazoria, TX | $102.32 | Unavailable |
| Dallas, TX | $102.93 | Unavailable |
| Fort Worth, TX | $102.61 | Unavailable |
| Galveston, TX | $102.62 | Unavailable |
| Houston, TX | $105.18 | Unavailable |
| Rest of Texas | $100.80 | Unavailable |
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.
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.
G0087 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
Fee sheets · Coming soon
Put G0087 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist