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

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.

CMS RVU26DEffective Oct 1, 2026One payment locality458.3K Medicare services in 2024

In Rhode Island, Medicare pays $112.14 for G0181 in the office.

$112.14Office (non-facility)
Not available in this settingHospital or facility
+2.0%vs the national office rate ($109.89)

Check a contract rate as a % of Medicare · G0181 nationwide

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

We’ll open G0181 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Rhode Island
  2. What G0181 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Rhode Island compares for G0181

Across 109 of 109 payment localities, the office rate for G0181 runs from $101.16 in Arkansas to $140.11 in Alaska. Rhode Island pays $112.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0181 in Rhode Island vs other payment areas
  1. Rhode Island · this page$112.14
  2. Los Angeles, CA · California$119.71+$7.57
  3. Washington, DC area · District of Columbia$122.02+$9.88
  4. Miami, FL · Florida$117.99+$5.85
  5. Chicago, IL · Illinois$115.72+$3.58
  6. Manhattan, NY · New York$123.73+$11.59
  7. Alaska · Alaska$140.11+$27.97

Other areas in Rhode Island first, then benchmark localities. Bars start at $0.

Every other payment area

G0181 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$102.14—
ArkansasArkansas$101.16—
ArizonaArizona$107.82—
Bakersfield, CACalifornia$114.04—
Chico, CACalifornia$113.63—
El Centro, CACalifornia$113.65—
Fresno, CACalifornia$113.63—
Hanford, CACalifornia$113.63—

G0181 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$101.16

$140.11

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0181 office rate range by state
State / territoryOffice rate rangeLocalities
AK$140.111
AL$102.141
AR$101.161
AZ$107.821
CA$113.63–$135.6429
CO$112.781
CT$115.591
DC$122.021
DE$109.201
FL$109.79–$117.993
GA$105.46–$111.642
GU$114.791
HI$114.791
IA$103.381
ID$103.931
IL$107.96–$115.724
IN$104.321
KS$103.281
KY$104.211
LA$104.19–$107.602
MA$112.55–$121.152
MD$110.72–$122.023
ME$104.53–$107.982
MI$106.22–$110.962
MN$108.461
MO$103.15–$107.593
MS$102.161
MT$109.881
NC$105.221
ND$107.511
NE$103.691
NH$111.361
NJ$117.01–$121.502
NM$106.701
NV$109.271
NY$106.29–$126.115
OH$105.741
OK$103.851
OR$108.51–$115.132
PA$105.72–$113.672
PR$110.361
RI$112.141
SC$105.631
SD$107.231
TN$103.661
TX$105.28–$112.348
UT$106.591
VA$107.89–$122.022
VI$110.361
VT$107.431
WA$112.23–$122.962
WI$105.101
WV$105.321
WY$108.851

See G0181 in every payment locality

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

Office or facility?

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.

The exact Rhode Island inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,132

Code
G0181
Physician work
1.73
Practice expense
1.44
Malpractice
0.12

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for G0181 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work1.73× 1.0191.7629
Practice expense1.44× 1.0331.4875
Malpractice0.12× 0.8920.1070
Total RVUs3.3574
Conversion factor× 33.4009

Office rate, Rhode Island$112.14

Office: (1.73 × 1.019 + 1.44 × 1.033 + 0.12 × 0.892) × $33.4009 = $112.14

Open G0181 in the RVU calculator

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.

Codes related to G0181

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to G0181
CodeHow it relatesOffice range, Rhode Island
Same family
G0180Home health certification, initial certification, patient not presentPhysician certification for home health care, distinct from ongoing monthly supervision.$58.12
G0179Home health, recertificationPhysician recertification for a home health patient, rather than ongoing oversight.$45.54
Used instead
G0182Hospice supervision, 30 minutes per monthPhysician supervision for a patient receiving hospice care rather than home health care.$110.76

How G0181 has changed in Rhode Island

G0181 · Office / nonfacility

$112.14

Effective 2026-10-01

The base rate is $7.52 higher than on 2025-10-01, moving from $104.62 to $112.14 (7.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $104.62changed to$112.14

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.30 changed to 1.44
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $107.03changed to$104.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.29 changed to 1.30
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $105.29changed to$107.03

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $107.25changed to$105.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.24 changed to 1.29
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849

  5. January 1, 2023

    RVU23A

    $109.11changed to$107.25

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.22 changed to 1.24
    • Work GPCI 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $109.65changed to$109.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.21 changed to 1.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $112.54changed to$109.65

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.18 changed to 1.21
    • Work GPCI 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $113.38changed to$112.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.19 changed to 1.18
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $114.01changed to$113.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.21 changed to 1.19

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $112.73changed to$114.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.20 changed to 1.21
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $111.43changed to$112.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.19 changed to 1.20
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $111.56changed to$111.43

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $111.00changed to$111.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $111.21changed to$111.00

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.18 changed to 1.19
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$111.21

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$112.14Not available in this settingRVU26D
2026-07-01$112.14Not available in this settingRVU26C
2026-04-01$112.14Not available in this settingRVU26B
2026-01-01$112.14Not available in this settingRVU26A
2025-10-01$104.62Not available in this settingRVU25D
2025-07-01$104.62Not available in this settingRVU25C
2025-04-01$104.62Not available in this settingRVU25B
2025-01-01$104.62Not available in this settingRVU25A
2024-10-01$107.03Not available in this settingRVU24D
2024-07-01$107.03Not available in this settingRVU24C
2024-04-01$107.03Not available in this settingRVU24B
2024-03-09$107.03Not available in this settingRVU24AR
2024-01-01$105.29Not available in this settingRVU24A
2023-10-01$107.25Not available in this settingRVU23D
2023-07-01$107.25Not available in this settingRVU23C
2023-04-01$107.25Not available in this settingRVU23B
2023-01-01$107.25Not available in this settingRVU23A
2022-10-01$109.11Not available in this settingRVU22D
2022-07-01$109.11Not available in this settingRVU22C
2022-04-01$109.11Not available in this settingRVU22B
2022-01-01$109.11Not available in this settingRVU22A
2021-10-01$109.65Not available in this settingRVU21D
2021-07-01$109.65Not available in this settingRVU21C
2021-04-01$109.65Not available in this settingRVU21B
2021-01-01$109.65Not available in this settingRVU21A
2020-10-01$112.54Not available in this settingRVU20D
2020-07-01$112.54Not available in this settingRVU20C
2020-04-01$112.54Not available in this settingRVU20B
2020-01-01$112.54Not available in this settingRVU20A
2019-10-01$113.38Not available in this settingRVU19D
2019-07-01$113.38Not available in this settingRVU19C
2019-04-01$113.38Not available in this settingRVU19B
2019-01-01$113.38Not available in this settingRVU19A
2018-10-01$114.01Not available in this settingRVU18D
2018-07-01$114.01Not available in this settingRVU18C
2018-04-01$114.01Not available in this settingRVU18B
2018-01-01$114.01Not available in this settingRVU18AR1
2017-10-01$112.73Not available in this settingRVU17D
2017-07-01$112.73Not available in this settingRVU17C
2017-04-01$112.73Not available in this settingRVU17B
2017-01-01$112.73Not available in this settingRVU17A
2016-10-01$111.43Not available in this settingRVU16D
2016-07-01$111.43Not available in this settingRVU16C
2016-04-01$111.43Not available in this settingRVU16B
2016-01-01$111.43Not available in this settingRVU16A
2015-10-01$111.56Not available in this settingRVU15D
2015-07-01$111.56Not available in this settingRVU15C
2015-04-01$111.00Not available in this settingRVU15B
2015-01-01$111.00Not available in this settingRVU15A
2014-10-01$111.21Not available in this settingRVU14D
2014-07-01$111.21Not available in this settingRVU14C
2014-04-01$111.21Not available in this settingRVU14B
2014-01-01$111.21Not available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price G0181 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

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

Show the CMS file lines behind this rate
RVUs for G0181PPRRVU2026_Oct_nonQPP.csv, line 15,132 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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