HCPCS code G2003: Home visit, new patient, 45 minutes2026 Medicare rate & RVUs in Missouri
G2003 identifies a 45-minute post-discharge home visit for a new patient, reported when the encounter meets this code’s patient-status and time level.
Medicare pays $115.76–$118.73 for G2003 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. 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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On this page 9 sections
What G2003 covers
G2003 represents a clinician’s home visit with a new patient after discharge. The visit takes place in the patient’s home and is identified by the 45-minute level. It is distinct from the corresponding established-patient service and from other post-discharge home-visit levels that specify different times. The code is relevant when the clinician evaluates the patient in the home during the post-discharge period, rather than conducting a routine office encounter.
Report G2003 when the patient qualifies as new for the service and the documented visit supports this code’s 45-minute level. The record should establish the discharge context, home setting, patient status, clinical work performed, and time supporting code selection. CMS values the service through work, practice-expense, and malpractice relative value units. Choose a different code when the patient is established or the encounter supports another time level.
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 G2003 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$115.76 to $118.73
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $118.22 | Unavailable |
| Metropolitan St. Louis, MO | $118.73 | Unavailable |
| Rest of Missouri | $115.76 | Unavailable |
How the G2003 rate is calculated
Each of G2003’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 · G2003
RVUs × geographic indexes × conversion factor
Work2.53
2.53 RVUs× 1.000 GPCI
Practice expense0.95
0.95 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
3.6000
Conversion factor
$33.4009
Medicare rate
$120.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G2003
G2003 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 · G2003
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$120.24
Higher because the practice carries its own overhead.
G2003 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G2002Home visitNew patient, 30 minutes
- Both describe post-discharge home visits for new patients. G2002 is the 30-minute level; G2003 is the 45-minute level.
- G2004Home visitNew patient, 60 minutes
- Both are new-patient post-discharge home visits. G2004 represents the 60-minute level rather than G2003’s 45-minute level.
- G2008Home visitEstablished patient, 45 minutes
- Both identify 45-minute post-discharge home visits. G2003 is for a new patient, while G2008 is for an established patient.
G2003 billing questions
How does G2003 differ from the 30-minute level?
G2003 identifies the 45-minute new-patient level; G2002 identifies the 30-minute new-patient level. Select the level supported by the encounter documentation.
Can G2003 be used for an established patient?
No. G2003 is the new-patient level; G2008 is the corresponding 45-minute post-discharge home-visit level for an established patient.
What should the record support?
Document the post-discharge context, the home setting, the patient’s new-patient status, the service performed, and the time basis for selecting the 45-minute level.
Is this an office visit code?
No. G2003 identifies a post-discharge visit in the patient’s home, not an office 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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