HCPCS code G0181: Home health supervision, 30 minutes per calendar month2026 Medicare rate & RVUs in Maine
Reports a physician’s qualifying, non-face-to-face oversight of a home health patient when at least 30 minutes of care-plan work occurs in a calendar month.
Medicare pays $104.53–$107.98 for G0181 in the office in Maine, from Rest of Maine to Southern Maine, ME. 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.
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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 in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | $104.53 | Unavailable |
| Southern Maine, ME | $107.98 | Unavailable |
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.
How the rate is built · G0181
RVUs × geographic indexes × conversion factor
Work1.73
1.73 RVUs× 1.000 GPCI
Practice expense1.44
1.44 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
3.2900
Conversion factor
$33.4009
Medicare rate
$109.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · G0181
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$109.89
Higher because the practice carries its own overhead.
G0181 compared with similar codes
Compare codes · National
4 codes, side by side
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.
G0181 billing questions
Does the patient need to be present?
No. G0181 describes physician supervision performed while the patient is not present, such as reviewing reports and coordinating the care plan.
How much time must the physician document?
At least 30 minutes of qualifying supervision must occur within the calendar month. Document the qualifying activities and the total time for that month.
Can home health therapy time count toward G0181?
No. G0181 represents the physician’s oversight, not the therapist’s direct treatment time; the treating discipline’s visits are reported separately.
How is G0181 different from G0180?
G0181 reports ongoing physician supervision during a home health episode. G0180 is for the physician’s certification of the patient for home health care.
When should G0179 be used instead?
G0179 is the home health recertification service. G0181 is for qualifying physician oversight during a calendar month, not the recertification itself.
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
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