HCPCS code G0181: Home health supervision, 30 minutes per calendar month2026 Medicare rate & RVUs

Medicare pays $109.89 for G0181 nationally in the office. Local office rates run $101.16–$140.11.

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

What G0181 covers

G0181 covers a physician’s oversight of a patient receiving care from a home health agency when the patient is not present. The physician’s work may include developing or revising the plan of care, reviewing status reports and related test results, coordinating with other clinicians, and incorporating new information into the medical treatment plan. It is used for complex, multidisciplinary care rather than for a therapist’s or nurse’s direct home visit.

Report the service for a calendar month in which the physician provides at least 30 minutes of qualifying supervision. Documentation should identify the patient’s home health status, the oversight activities performed, and the total qualifying time for that month. CMS fee schedule valuation includes physician work, practice expense, and malpractice components. Home health therapy visits are reported for the services delivered by the treating discipline; G0181 represents the physician’s care-plan oversight.

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 G0181 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

G0181 rates by state

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

How the G0181 rate is calculated

Each of G0181’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 G0181

G0181 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.

G0181 compared with similar codes

How to choose

G0180Home health certificationInitial certification, patient not present

Choose G0180 for physician certification of home health care. G0181 is for qualifying ongoing supervision during a calendar month.

G0179Home healthRecertification

G0179 identifies home health recertification; G0181 identifies physician oversight activities such as care-plan review and clinician coordination.

G0182Hospice supervision30 minutes per month

G0182 is for physician supervision of a hospice patient. G0181 is for supervision of a patient under a home health agency’s care.

Codes related to G0181

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