HCPCS code G2005: Home visit, new patient, 75 minutes2026 Medicare rate & RVUs in Texas
Reports a 75-minute home visit for a new patient after discharge, when a clinician assesses the patient’s needs in the home setting.
Medicare pays $210.02–$220.83 for G2005 in the office in Texas, from Beaumont, TX to Houston, TX. 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 G2005 covers
G2005 identifies a home visit for a new patient after discharge, at the 75-minute level. A physician or other qualified clinician sees the patient in the home to assess the patient’s condition and needs during the transition from a facility to home. The setting and post-discharge context distinguish this service from an office visit or a routine home visit unrelated to a discharge.
Select this code when the patient meets the new-patient criteria and the documented service supports the 75-minute level. The record should identify the discharge context, the home setting, the clinician’s assessment and management, and the time supporting the selected level. CMS assigns work, practice-expense, and malpractice relative value units to G2005; the claim should reflect the service and applicable site of service.
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 G2005 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$210.02 to $220.83
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $220.61 | Unavailable |
| Beaumont, TX | $210.02 | Unavailable |
| Brazoria, TX | $215.71 | Unavailable |
| Dallas, TX | $216.86 | Unavailable |
| Fort Worth, TX | $216.25 | Unavailable |
| Galveston, TX | $216.26 | Unavailable |
| Houston, TX | $220.83 | Unavailable |
| Rest of Texas | $212.62 | Unavailable |
How the G2005 rate is calculated
Each of G2005’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 · G2005
RVUs × geographic indexes × conversion factor
Work4.09
4.09 RVUs× 1.000 GPCI
Practice expense2.16
2.16 RVUs× 1.000 GPCI
Malpractice0.25
0.25 RVUs× 1.000 GPCI
Adjusted RVUs
6.5000
Conversion factor
$33.4009
Medicare rate
$217.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G2005
G2005 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 · G2005
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$217.11
Higher because the practice carries its own overhead.
G2005 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G2004Home visitNew patient, 60 minutes
- Use G2004 for a new-patient post-discharge home visit at the 60-minute level; G2005 is the 75-minute level.
- G2013Home visitEstablished patient, 75 minutes
- Both are 75-minute post-discharge home visits. Choose G2005 for a new patient and G2013 for an established patient.
- G2006Home visit20-minute level
- G2006 is for an established patient at the 20-minute level. G2005 is for a new patient at the 75-minute level.
G2005 billing questions
How does G2005 differ from G2004?
Both describe post-discharge home visits for new patients. G2004 is the 60-minute level; G2005 is the 75-minute level.
How does G2005 differ from G2013?
Both describe a 75-minute post-discharge home visit. G2005 is for a new patient, while G2013 is for an established patient.
What documentation supports the 75-minute level?
Document the home setting, the post-discharge context, the patient’s new-patient status, the assessment and management performed, and the time supporting the level.
Can G2005 be used for a routine home visit?
The code describes a home visit after discharge for a new patient. A routine home visit without that post-discharge context does not match its description.
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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