HCPCS code G0318: Prolonged home visit, each additional 15 minutes2026 Medicare rate & RVUs in New Mexico
Reports each additional 15 minutes of prolonged physician or qualified professional time for eligible high-level home or residence evaluation and management services.
In New Mexico, Medicare pays $33.41 for G0318 in the office and $27.28 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · G0318 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 G0318 covers
G0318 accounts for additional physician or qualified health care professional time spent on a prolonged evaluation and management service in a patient's home or residence. It is used with eligible high-level home or residence visits, such as a complex assessment in a private home or assisted living residence. The additional time may include work performed on the date of the visit with or without the patient present, consistent with the applicable E/M time rules.
Report G0318 only with an eligible primary home or residence E/M service, such as 99345 or 99350; it is not a standalone visit code. Select the primary service based on the applicable E/M criteria, and document total time and the work supporting the prolonged service. Each unit represents an additional 15 minutes. CMS classifies G0318 as an add-on code paid within the primary procedure's global period, so report it with that primary service rather than as a separate encounter.
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 G0318
Across 109 of 109 payment localities, the office rate for G0318 runs from $31.56 in Arkansas to $44.29 in Alaska. New Mexico pays $33.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$33.41
- Los Angeles, CA · California$36.54+$3.13
- Washington, DC area · District of Columbia$37.50+$4.09
- Miami, FL · Florida$37.12+$3.71
- Chicago, IL · Illinois$36.43+$3.02
- Manhattan, NY · New York$38.30+$4.89
- Alaska · Alaska$44.29+$10.88
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $31.84 | $26.00 |
| ArkansasArkansas | $31.56 | $25.83 |
| ArizonaArizona | $33.46 | $26.98 |
| Bakersfield, CACalifornia | $34.96 | $27.64 |
| Chico, CACalifornia | $34.79 | $27.47 |
| El Centro, CACalifornia | $34.80 | $27.48 |
| Fresno, CACalifornia | $34.79 | $27.47 |
| Hanford, CACalifornia | $34.79 | $27.47 |
| Madera, CACalifornia | $34.79 | $27.47 |
| Merced, CACalifornia | $34.79 | $27.47 |
| Modesto, CACalifornia | $34.79 | $27.47 |
| Napa, CACalifornia | $38.35 | $29.55 |
| Oxnard, CACalifornia | $36.20 | $28.30 |
| Redding, CACalifornia | $34.79 | $27.47 |
| Rest of CaliforniaCalifornia | $34.79 | $27.47 |
| Riverside, CACalifornia | $35.34 | $28.02 |
| Sacramento, CACalifornia | $35.99 | $28.22 |
| Salinas, CACalifornia | $35.84 | $28.10 |
| San Diego, CACalifornia | $36.27 | $28.28 |
| Marin County, CACalifornia | $40.03 | $30.61 |
| San Francisco, CACalifornia | $39.97 | $30.56 |
| San Benito County, CACalifornia | $40.85 | $31.22 |
| Santa Clara County, CACalifornia | $40.62 | $30.99 |
| San Luis Obispo, CACalifornia | $35.31 | $27.70 |
| Santa Cruz, CACalifornia | $36.31 | $28.19 |
| Santa Maria, CACalifornia | $35.86 | $28.07 |
| Santa Rosa, CACalifornia | $36.65 | $28.44 |
| Stockton, CACalifornia | $34.79 | $27.47 |
| Vallejo, CACalifornia | $38.27 | $29.47 |
| Visalia, CACalifornia | $34.79 | $27.47 |
| Yuba City, CACalifornia | $34.79 | $27.47 |
| ColoradoColorado | $34.72 | $27.61 |
| ConnecticutConnecticut | $35.75 | $28.56 |
| DelawareDelaware | $33.86 | $27.26 |
| Fort Lauderdale, FLFlorida | $35.57 | $28.81 |
| Rest of FloridaFlorida | $34.38 | $27.99 |
| Atlanta, GAGeorgia | $34.66 | $27.87 |
| Rest of GeorgiaGeorgia | $33.09 | $27.13 |
| Hawaii, Guam, HIHawaii | $35.01 | $27.42 |
| IowaIowa | $32.04 | $25.93 |
| IdahoIdaho | $32.23 | $26.08 |
| East St. Louis, ILIllinois | $34.80 | $28.65 |
| Rest of IllinoisIllinois | $33.96 | $27.86 |
| Suburban Chicago, ILIllinois | $35.83 | $28.96 |
| IndianaIndiana | $32.33 | $26.14 |
| KansasKansas | $32.09 | $26.05 |
| KentuckyKentucky | $32.59 | $26.65 |
| New Orleans, LALouisiana | $33.59 | $27.30 |
| Rest of LouisianaLouisiana | $32.62 | $26.70 |
| Metropolitan Boston, MAMassachusetts | $37.05 | $29.08 |
| Rest of MassachusettsMassachusetts | $34.69 | $27.66 |
| Baltimore area, MDMaryland | $35.67 | $28.50 |
| Rest of MarylandMaryland | $34.28 | $27.52 |
| Rest of MaineMaine | $32.48 | $26.33 |
| Southern Maine, MEMaine | $33.34 | $26.72 |
| Detroit, MIMichigan | $34.79 | $28.35 |
| Rest of MichiganMichigan | $33.24 | $27.14 |
| MinnesotaMinnesota | $33.24 | $26.37 |
| Metropolitan Kansas City, MOMissouri | $33.30 | $27.02 |
| Metropolitan St. Louis, MOMissouri | $33.50 | $27.14 |
| Rest of MissouriMissouri | $32.37 | $26.61 |
| MississippiMississippi | $31.96 | $26.21 |
| MontanaMontana | $34.07 | $27.39 |
| North CarolinaNorth Carolina | $32.66 | $26.43 |
| North DakotaNorth Dakota | $33.08 | $26.40 |
| NebraskaNebraska | $32.10 | $25.94 |
| New HampshireNew Hampshire | $34.35 | $27.40 |
| Northern New JerseyNew Jersey | $37.39 | $29.64 |
| Rest of New JerseyNew Jersey | $36.15 | $28.86 |
| NevadaNevada | $33.80 | $27.12 |
| NYC suburbs and Long Island, NYNew York | $39.08 | $31.13 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $36.48 | $29.16 |
| Queens, NYNew York | $38.30 | $30.40 |
| Rest of New YorkNew York | $32.97 | $26.63 |
| OhioOhio | $33.04 | $26.94 |
| OklahomaOklahoma | $32.41 | $26.44 |
| Portland, OROregon | $35.30 | $27.88 |
| Rest of OregonOregon | $33.52 | $26.87 |
| Metropolitan Philadelphia, PAPennsylvania | $35.25 | $28.30 |
| Rest of PennsylvaniaPennsylvania | $32.99 | $26.86 |
| Puerto RicoPuerto Rico | $34.18 | $27.42 |
| Rhode IslandRhode Island | $34.67 | $27.77 |
| South CarolinaSouth Carolina | $32.90 | $26.73 |
| South DakotaSouth Dakota | $32.96 | $26.28 |
| TennesseeTennessee | $32.20 | $26.13 |
| Austin, TXTexas | $34.62 | $27.55 |
| Beaumont, TXTexas | $32.87 | $26.79 |
| Brazoria, TXTexas | $33.76 | $27.14 |
| Dallas, TXTexas | $33.97 | $27.31 |
| Fort Worth, TXTexas | $33.87 | $27.28 |
| Galveston, TXTexas | $33.86 | $27.23 |
| Houston, TXTexas | $34.78 | $28.14 |
| Rest of TexasTexas | $33.29 | $26.95 |
| UtahUtah | $33.18 | $26.90 |
| VirginiaVirginia | $33.37 | $26.81 |
| Virgin Islands, VIUnited States Virgin Islands | $34.18 | $27.42 |
| VermontVermont | $33.12 | $26.51 |
| Rest of WashingtonWashington | $34.57 | $27.54 |
| King County, WAWashington | $37.51 | $29.31 |
| WisconsinWisconsin | $32.41 | $26.01 |
| West VirginiaWest Virginia | $33.21 | $27.41 |
| WyomingWyoming | $33.63 | $26.95 |
G0318 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.
$31.56
$44.29
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 | $44.29 | 1 |
| AL | $31.84 | 1 |
| AR | $31.56 | 1 |
| AZ | $33.46 | 1 |
| CA | $34.79–$40.85 | 29 |
| CO | $34.72 | 1 |
| CT | $35.75 | 1 |
| DC | $37.50 | 1 |
| DE | $33.86 | 1 |
| FL | $34.38–$37.12 | 3 |
| GA | $33.09–$34.66 | 2 |
| GU | $35.01 | 1 |
| HI | $35.01 | 1 |
| IA | $32.04 | 1 |
| ID | $32.23 | 1 |
| IL | $33.96–$36.43 | 4 |
| IN | $32.33 | 1 |
| KS | $32.09 | 1 |
| KY | $32.59 | 1 |
| LA | $32.62–$33.59 | 2 |
| MA | $34.69–$37.05 | 2 |
| MD | $34.28–$37.50 | 3 |
| ME | $32.48–$33.34 | 2 |
| MI | $33.24–$34.79 | 2 |
| MN | $33.24 | 1 |
| MO | $32.37–$33.50 | 3 |
| MS | $31.96 | 1 |
| MT | $34.07 | 1 |
| NC | $32.66 | 1 |
| ND | $33.08 | 1 |
| NE | $32.10 | 1 |
| NH | $34.35 | 1 |
| NJ | $36.15–$37.39 | 2 |
| NM | $33.41 | 1 |
| NV | $33.80 | 1 |
| NY | $32.97–$39.08 | 5 |
| OH | $33.04 | 1 |
| OK | $32.41 | 1 |
| OR | $33.52–$35.30 | 2 |
| PA | $32.99–$35.25 | 2 |
| PR | $34.18 | 1 |
| RI | $34.67 | 1 |
| SC | $32.90 | 1 |
| SD | $32.96 | 1 |
| TN | $32.20 | 1 |
| TX | $32.87–$34.78 | 8 |
| UT | $33.18 | 1 |
| VA | $33.37–$37.50 | 2 |
| VI | $34.18 | 1 |
| VT | $33.12 | 1 |
| WA | $34.57–$37.51 | 2 |
| WI | $32.41 | 1 |
| WV | $33.21 | 1 |
| WY | $33.63 | 1 |
How the G0318 rate is calculated
Each of G0318’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 · G0318
RVUs × geographic indexes × conversion factor
Work0.61
0.61 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
1.0200
Conversion factor
$33.4009
Medicare rate
$34.07
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
15,195
- Code
- G0318
- Physician work
- 0.61
- Practice expense
- 0.36
- Malpractice
- 0.05
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.61 | × 1.000 | 0.6100 |
| Practice expense | 0.36 | × 0.917 | 0.3301 |
| Malpractice | 0.05 | × 1.201 | 0.0601 |
| Total RVUs | 1.0002 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$33.41
Office: (0.61 × 1 + 0.36 × 0.917 + 0.05 × 1.201) × $33.4009 = $33.41
Facility: (0.61 × 1 + 0.16 × 0.917 + 0.05 × 1.201) × $33.4009 = $27.28
Payment rules and modifiers for G0318
The CMS indicators that decide how G0318 is paid alongside other services.
CMS payment indicators · G0318
Prolonged home visit, each additional 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How G0318 has changed in New Mexico
G0318 · Office / nonfacility
$33.41
Effective 2026-10-01
The base rate is $3.94 higher than on 2025-10-01, moving from $29.47 to $33.41 (13.4%).
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
$29.47changed to$33.41
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.28 changed to 0.36
- Malpractice RVU 0.04 changed to 0.05
- 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
$30.42changed to$29.47
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.27 changed to 0.28
- Malpractice RVU 0.05 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$29.92changed to$30.42
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$30.51changed to$29.92
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.04 changed to 0.05
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
No ratechanged to$30.51
Held through RVU23B, RVU23C, RVU23D.
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, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $33.41 | $27.28 | RVU26D |
| 2026-07-01 | $33.41 | $27.28 | RVU26C |
| 2026-04-01 | $33.41 | $27.28 | RVU26B |
| 2026-01-01 | $33.41 | $27.28 | RVU26A |
| 2025-10-01 | $29.47 | $28.30 | RVU25D |
| 2025-07-01 | $29.47 | $28.30 | RVU25C |
| 2025-04-01 | $29.47 | $28.30 | RVU25B |
| 2025-01-01 | $29.47 | $28.30 | RVU25A |
| 2024-10-01 | $30.42 | $29.21 | RVU24D |
| 2024-07-01 | $30.42 | $29.21 | RVU24C |
| 2024-04-01 | $30.42 | $29.21 | RVU24B |
| 2024-03-09 | $30.42 | $29.21 | RVU24AR |
| 2024-01-01 | $29.92 | $28.73 | RVU24A |
| 2023-10-01 | $30.51 | $29.29 | RVU23D |
| 2023-07-01 | $30.51 | $29.29 | RVU23C |
| 2023-04-01 | $30.51 | $29.29 | RVU23B |
| 2023-01-01 | $30.51 | $29.29 | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | 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
G0318 billing questions
Which primary E/M codes can be paired with G0318?
G0318 is used with eligible high-level home or residence E/M services, including 99345 for a new patient and 99350 for an established patient.
Can G0318 be billed by itself?
No. CMS identifies it as an add-on code, so it must be reported with a qualifying primary home or residence E/M service.
How much time does one unit represent?
Each unit represents an additional 15 minutes of prolonged service time. Document the time and the work supporting the primary and prolonged services.
Can G0318 be used for a prolonged office visit?
No. G0318 is for prolonged home or residence E/M services. Prolonged office or outpatient E/M services use a different code pathway.
How does the global-period rule affect reporting?
CMS places payment for this add-on within the primary procedure's global period. Report G0318 with the primary home or residence E/M service, not as a separate encounter.
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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