HCPCS code G2004: Home visit, new patient, 60 minutes2026 Medicare rate & RVUs in New Mexico
Reports a 60-minute post-discharge home evaluation and management visit for a beneficiary who qualifies as a new patient.
In New Mexico, Medicare pays $160.97 for G2004 in the office.
Check a contract rate as a % of Medicare · G2004 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 G2004 covers
G2004 describes a home visit after a beneficiary’s discharge, with the service documented at the 60-minute level for a new patient. A physician or other qualified health care professional assesses the beneficiary in the residence, such as during recovery after a hospital stay. The encounter may address current symptoms, medication use, mobility, support at home, and the need for further care.
Choose the new-patient series when the beneficiary meets the applicable new-patient definition; use the established-patient series otherwise. Document the discharge context, home setting, new-patient status, time supporting the selected level, clinical assessment, and plan. CMS assigns the code work, practice-expense, and malpractice relative value units under the Physician Fee Schedule. G2003 and G2005 are the neighboring new-patient levels for 45 and 75 minutes, respectively.
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 G2004
Across 109 of 109 payment localities, the office rate for G2004 runs from $154.67 in Arkansas to $220.67 in Alaska. New Mexico pays $160.97. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$160.97
- Los Angeles, CA · California$174.81+$13.84
- Washington, DC area · District of Columbia$178.45+$17.48
- Miami, FL · Florida$173.70+$12.73
- Chicago, IL · Illinois$171.60+$10.63
- Manhattan, NY · New York$181.38+$20.41
- Alaska · Alaska$220.67+$59.70
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $155.67 | — |
| ArkansasArkansas | $154.67 | — |
| ArizonaArizona | $161.49 | — |
| Bakersfield, CACalifornia | $168.08 | — |
| Chico, CACalifornia | $167.46 | — |
| El Centro, CACalifornia | $167.49 | — |
| Fresno, CACalifornia | $167.46 | — |
| Hanford, CACalifornia | $167.46 | — |
| Madera, CACalifornia | $167.46 | — |
| Merced, CACalifornia | $167.46 | — |
| Modesto, CACalifornia | $167.46 | — |
| Napa, CACalifornia | $182.59 | — |
| Oxnard, CACalifornia | $173.08 | — |
| Redding, CACalifornia | $167.46 | — |
| Rest of CaliforniaCalifornia | $167.46 | — |
| Riverside, CACalifornia | $169.27 | — |
| Sacramento, CACalifornia | $172.65 | — |
| Salinas, CACalifornia | $171.91 | — |
| San Diego, CACalifornia | $173.51 | — |
| Marin County, CACalifornia | $190.12 | — |
| San Francisco, CACalifornia | $189.94 | — |
| San Benito County, CACalifornia | $193.68 | — |
| Santa Clara County, CACalifornia | $192.94 | — |
| San Luis Obispo, CACalifornia | $169.42 | — |
| Santa Cruz, CACalifornia | $173.32 | — |
| Santa Maria, CACalifornia | $171.89 | — |
| Santa Rosa, CACalifornia | $174.93 | — |
| Stockton, CACalifornia | $167.46 | — |
| Vallejo, CACalifornia | $182.33 | — |
| Visalia, CACalifornia | $167.46 | — |
| Yuba City, CACalifornia | $167.46 | — |
| ColoradoColorado | $166.76 | — |
| ConnecticutConnecticut | $170.54 | — |
| DelawareDelaware | $163.14 | — |
| Fort Lauderdale, FLFlorida | $168.57 | — |
| Rest of FloridaFlorida | $164.35 | — |
| Atlanta, GAGeorgia | $165.80 | — |
| Rest of GeorgiaGeorgia | $159.78 | — |
| Hawaii, Guam, HIHawaii | $167.64 | — |
| IowaIowa | $156.58 | — |
| IdahoIdaho | $157.21 | — |
| East St. Louis, ILIllinois | $165.45 | — |
| Rest of IllinoisIllinois | $162.72 | — |
| Suburban Chicago, ILIllinois | $169.81 | — |
| IndianaIndiana | $157.60 | — |
| KansasKansas | $156.65 | — |
| KentuckyKentucky | $158.17 | — |
| New Orleans, LALouisiana | $161.71 | — |
| Rest of LouisianaLouisiana | $158.22 | — |
| Metropolitan Boston, MAMassachusetts | $176.52 | — |
| Rest of MassachusettsMassachusetts | $166.79 | — |
| Baltimore area, MDMaryland | $170.05 | — |
| Rest of MarylandMaryland | $164.90 | — |
| Rest of MaineMaine | $158.01 | — |
| Southern Maine, MEMaine | $161.28 | — |
| Detroit, MIMichigan | $165.74 | — |
| Rest of MichiganMichigan | $160.40 | — |
| MinnesotaMinnesota | $161.22 | — |
| Metropolitan Kansas City, MOMissouri | $160.77 | — |
| Metropolitan St. Louis, MOMissouri | $161.49 | — |
| Rest of MissouriMissouri | $157.26 | — |
| MississippiMississippi | $155.96 | — |
| MontanaMontana | $163.65 | — |
| North CarolinaNorth Carolina | $158.69 | — |
| North DakotaNorth Dakota | $160.49 | — |
| NebraskaNebraska | $156.84 | — |
| New HampshireNew Hampshire | $164.86 | — |
| Northern New JerseyNew Jersey | $178.41 | — |
| Rest of New JerseyNew Jersey | $172.88 | — |
| NevadaNevada | $162.82 | — |
| NYC suburbs and Long Island, NYNew York | $184.05 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $174.18 | — |
| Queens, NYNew York | $181.52 | — |
| Rest of New YorkNew York | $159.81 | — |
| OhioOhio | $159.76 | — |
| OklahomaOklahoma | $157.61 | — |
| Portland, OROregon | $169.14 | — |
| Rest of OregonOregon | $161.90 | — |
| Metropolitan Philadelphia, PAPennsylvania | $168.59 | — |
| Rest of PennsylvaniaPennsylvania | $159.65 | — |
| Puerto RicoPuerto Rico | $164.08 | — |
| Rhode IslandRhode Island | $166.73 | — |
| South CarolinaSouth Carolina | $159.41 | — |
| South DakotaSouth Dakota | $160.12 | — |
| TennesseeTennessee | $157.06 | — |
| Austin, TXTexas | $165.92 | — |
| Beaumont, TXTexas | $159.20 | — |
| Brazoria, TXTexas | $162.98 | — |
| Dallas, TXTexas | $163.74 | — |
| Fort Worth, TXTexas | $163.36 | — |
| Galveston, TXTexas | $163.33 | — |
| Houston, TXTexas | $166.26 | — |
| Rest of TexasTexas | $160.83 | — |
| UtahUtah | $160.39 | — |
| VirginiaVirginia | $161.32 | — |
| Virgin Islands, VIUnited States Virgin Islands | $164.08 | — |
| VermontVermont | $160.57 | — |
| Rest of WashingtonWashington | $166.26 | — |
| King County, WAWashington | $178.64 | — |
| WisconsinWisconsin | $158.06 | — |
| West VirginiaWest Virginia | $160.02 | — |
| WyomingWyoming | $162.27 | — |
G2004 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.
$154.67
$220.67
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 | $220.67 | 1 |
| AL | $155.67 | 1 |
| AR | $154.67 | 1 |
| AZ | $161.49 | 1 |
| CA | $167.46–$193.68 | 29 |
| CO | $166.76 | 1 |
| CT | $170.54 | 1 |
| DC | $178.45 | 1 |
| DE | $163.14 | 1 |
| FL | $164.35–$173.70 | 3 |
| GA | $159.78–$165.80 | 2 |
| GU | $167.64 | 1 |
| HI | $167.64 | 1 |
| IA | $156.58 | 1 |
| ID | $157.21 | 1 |
| IL | $162.72–$171.60 | 4 |
| IN | $157.60 | 1 |
| KS | $156.65 | 1 |
| KY | $158.17 | 1 |
| LA | $158.22–$161.71 | 2 |
| MA | $166.79–$176.52 | 2 |
| MD | $164.90–$178.45 | 3 |
| ME | $158.01–$161.28 | 2 |
| MI | $160.40–$165.74 | 2 |
| MN | $161.22 | 1 |
| MO | $157.26–$161.49 | 3 |
| MS | $155.96 | 1 |
| MT | $163.65 | 1 |
| NC | $158.69 | 1 |
| ND | $160.49 | 1 |
| NE | $156.84 | 1 |
| NH | $164.86 | 1 |
| NJ | $172.88–$178.41 | 2 |
| NM | $160.97 | 1 |
| NV | $162.82 | 1 |
| NY | $159.81–$184.05 | 5 |
| OH | $159.76 | 1 |
| OK | $157.61 | 1 |
| OR | $161.90–$169.14 | 2 |
| PA | $159.65–$168.59 | 2 |
| PR | $164.08 | 1 |
| RI | $166.73 | 1 |
| SC | $159.41 | 1 |
| SD | $160.12 | 1 |
| TN | $157.06 | 1 |
| TX | $159.20–$166.26 | 8 |
| UT | $160.39 | 1 |
| VA | $161.32–$178.45 | 2 |
| VI | $164.08 | 1 |
| VT | $160.57 | 1 |
| WA | $166.26–$178.64 | 2 |
| WI | $158.06 | 1 |
| WV | $160.02 | 1 |
| WY | $162.27 | 1 |
How the G2004 rate is calculated
Each of G2004’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 · G2004
RVUs × geographic indexes × conversion factor
Work3.38
3.38 RVUs× 1.000 GPCI
Practice expense1.36
1.36 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
4.9000
Conversion factor
$33.4009
Medicare rate
$163.66
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
15,412
- Code
- G2004
- Physician work
- 3.38
- Practice expense
- 1.36
- Malpractice
- 0.16
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.38 | × 1.000 | 3.3800 |
| Practice expense | 1.36 | × 0.917 | 1.2471 |
| Malpractice | 0.16 | × 1.201 | 0.1922 |
| Total RVUs | 4.8193 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$160.97
Office: (3.38 × 1 + 1.36 × 0.917 + 0.16 × 1.201) × $33.4009 = $160.97
Payment rules and modifiers for G2004
G2004 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 · G2004
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$163.66
Higher because the practice carries its own overhead.
How G2004 has changed in New Mexico
G2004 · Office / nonfacility
$160.97
Effective 2026-10-01
The base rate is $10.33 higher than on 2025-10-01, moving from $150.64 to $160.97 (6.9%).
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
$150.64changed to$160.97
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.20 changed to 1.36
- 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
$155.02changed to$150.64
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$152.49changed to$155.02
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$158.35changed to$152.49
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.18 changed to 0.16
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$175.46changed to$158.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.60 changed to 1.20
- Malpractice RVU 0.22 changed to 0.18
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$176.51changed to$175.46
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.21 changed to 0.22
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$182.36changed to$176.51
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.55 changed to 1.60
- Malpractice RVU 0.22 changed to 0.21
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
April 1, 2020
RVU20B
$184.54changed to$182.36
- Malpractice RVU 0.27 changed to 0.22
Held through RVU20C, RVU20D.
January 1, 2020
RVU20A
$182.93changed to$184.54
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.53 changed to 1.55
- Malpractice RVU 0.23 changed to 0.27
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
April 1, 2019
RVU19B
No ratechanged to$182.93
Held through RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $160.97 | Not available in this setting | RVU26D |
| 2026-07-01 | $160.97 | Not available in this setting | RVU26C |
| 2026-04-01 | $160.97 | Not available in this setting | RVU26B |
| 2026-01-01 | $160.97 | Not available in this setting | RVU26A |
| 2025-10-01 | $150.64 | Not available in this setting | RVU25D |
| 2025-07-01 | $150.64 | Not available in this setting | RVU25C |
| 2025-04-01 | $150.64 | Not available in this setting | RVU25B |
| 2025-01-01 | $150.64 | Not available in this setting | RVU25A |
| 2024-10-01 | $155.02 | Not available in this setting | RVU24D |
| 2024-07-01 | $155.02 | Not available in this setting | RVU24C |
| 2024-04-01 | $155.02 | Not available in this setting | RVU24B |
| 2024-03-09 | $155.02 | Not available in this setting | RVU24AR |
| 2024-01-01 | $152.49 | Not available in this setting | RVU24A |
| 2023-10-01 | $158.35 | Not available in this setting | RVU23D |
| 2023-07-01 | $158.35 | Not available in this setting | RVU23C |
| 2023-04-01 | $158.35 | Not available in this setting | RVU23B |
| 2023-01-01 | $158.35 | Not available in this setting | RVU23A |
| 2022-10-01 | $175.46 | Not available in this setting | RVU22D |
| 2022-07-01 | $175.46 | Not available in this setting | RVU22C |
| 2022-04-01 | $175.46 | Not available in this setting | RVU22B |
| 2022-01-01 | $175.46 | Not available in this setting | RVU22A |
| 2021-10-01 | $176.51 | Not available in this setting | RVU21D |
| 2021-07-01 | $176.51 | Not available in this setting | RVU21C |
| 2021-04-01 | $176.51 | Not available in this setting | RVU21B |
| 2021-01-01 | $176.51 | Not available in this setting | RVU21A |
| 2020-10-01 | $182.36 | Not available in this setting | RVU20D |
| 2020-07-01 | $182.36 | Not available in this setting | RVU20C |
| 2020-04-01 | $182.36 | Not available in this setting | RVU20B |
| 2020-01-01 | $184.54 | Not available in this setting | RVU20A |
| 2019-10-01 | $182.93 | $182.93 | RVU19D |
| 2019-07-01 | $182.93 | $182.93 | RVU19C |
| 2019-04-01 | $182.93 | $182.93 | 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
G2004 billing questions
When should G2004 be selected instead of G2009?
Use G2004 for a qualifying new patient and G2009 for an established patient when the post-discharge home visit is documented at the 60-minute level.
How does G2004 differ from G2003 and G2005?
Those codes are the neighboring new-patient post-discharge home-visit levels: G2003 is 45 minutes and G2005 is 75 minutes. Select the level supported by the documented service time.
What documentation supports G2004?
Record that the visit occurred at the beneficiary’s home after discharge, the beneficiary’s new-patient status, the time supporting the 60-minute level, and the assessment and plan.
Can G2004 be reported for a clinic follow-up?
No. G2004 identifies a post-discharge home visit; a clinic encounter is not the home service represented by this code.
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
Fee sheets · Coming soon
Put G2004 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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