HCPCS code G2008: Home visit, established patient, 45 minutes2026 Medicare rate & RVUs
G2008 identifies a 45-minute home visit for an established patient following discharge, distinguished from other post-discharge visit levels by patient status and duration.
Medicare pays $128.59 for G2008 nationally in the office. Local office rates run $119.60–$168.06.
Medicare rate · G2008
Home visit, established patient, 45 minutes
- Work RVUs
- 2.33
- Total RVUs
- 3.85
- Global days
- XXX
National rate · 2026
$128.59
Office setting, before claim adjustments.
See every locality for G2008 →Billed by an NP, PA or therapist? →
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 10 sections
What G2008 covers
G2008 describes a home visit for a patient already established with the clinician, provided after the patient has been discharged. The service is centered on a post-discharge encounter in the patient’s home; it is not the corresponding new-patient service. The code’s 45-minute designation separates it from shorter and longer established-patient home-visit levels in the same series.
Select G2008 when the record supports an established-patient relationship, a post-discharge home encounter, and the time represented by this level. Documentation should identify the discharge context, the home setting, the clinician’s work during the visit, and the time supporting the 45-minute selection. Compare the documented encounter with the shorter established-patient levels G2006 and G2007 and the longer level G2009 before choosing the code.
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 G2008 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$119.60 to $168.06
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $120.60 | Unavailable |
| Alaska | $168.06 | Unavailable |
| Arizona | $126.42 | Unavailable |
| Arkansas | $119.60 | Unavailable |
| Atlanta, GA | $130.63 | Unavailable |
| Austin, TX | $130.77 | Unavailable |
| Bakersfield, CA | $132.34 | Unavailable |
| Baltimore area, MD | $134.42 | Unavailable |
| Beaumont, TX | $124.13 | Unavailable |
| Brazoria, TX | $127.63 | Unavailable |
| Chicago, IL | $136.29 | Unavailable |
| Chico, CA | $131.80 | Unavailable |
| Colorado | $131.26 | Unavailable |
| Connecticut | $134.77 | Unavailable |
| Dallas, TX | $128.35 | Unavailable |
| Delaware | $127.90 | Unavailable |
| Detroit, MI | $130.67 | Unavailable |
| East St. Louis, IL | $130.38 | Unavailable |
| El Centro, CA | $131.82 | Unavailable |
| Fort Lauderdale, FL | $133.50 | Unavailable |
| Fort Worth, TX | $127.97 | Unavailable |
| Fresno, CA | $131.80 | Unavailable |
| Galveston, TX | $127.98 | Unavailable |
| Hanford, CA | $131.80 | Unavailable |
| Hawaii, Guam, HI | $132.57 | Unavailable |
| Houston, TX | $130.91 | Unavailable |
| Idaho | $122.14 | Unavailable |
| Indiana | $122.53 | Unavailable |
| Iowa | $121.51 | Unavailable |
| Kansas | $121.58 | Unavailable |
| Kentucky | $123.10 | Unavailable |
| King County, WA | $141.82 | Unavailable |
| Los Angeles, CA | $138.30 | Unavailable |
| Madera, CA | $131.80 | Unavailable |
| Manhattan, NY | $144.06 | Unavailable |
| Marin County, CA | $151.72 | Unavailable |
| Merced, CA | $131.80 | Unavailable |
| Metropolitan Boston, MA | $140.01 | Unavailable |
| Metropolitan Kansas City, MO | $125.70 | Unavailable |
| Metropolitan Philadelphia, PA | $132.89 | Unavailable |
| Metropolitan St. Louis, MO | $126.42 | Unavailable |
| Miami, FL | $138.63 | Unavailable |
| Minnesota | $126.15 | Unavailable |
| Mississippi | $120.88 | Unavailable |
| Modesto, CA | $131.80 | Unavailable |
| Montana | $128.58 | Unavailable |
| Napa, CA | $145.31 | Unavailable |
| Nebraska | $121.77 | Unavailable |
| Nevada | $127.75 | Unavailable |
| New Hampshire | $129.79 | Unavailable |
| New Mexico | $125.90 | Unavailable |
| New Orleans, LA | $126.64 | Unavailable |
| North Carolina | $123.62 | Unavailable |
| North Dakota | $125.42 | Unavailable |
| Northern New Jersey | $141.13 | Unavailable |
| NYC suburbs and Long Island, NY | $146.74 | Unavailable |
| Ohio | $124.68 | Unavailable |
| Oklahoma | $122.54 | Unavailable |
| Oxnard, CA | $137.03 | Unavailable |
| Portland, OR | $133.51 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $137.53 | Unavailable |
| Puerto Rico | $129.01 | Unavailable |
| Queens, NY | $144.20 | Unavailable |
| Redding, CA | $131.80 | Unavailable |
| Rest of California | $131.80 | Unavailable |
| Rest of Florida | $129.28 | Unavailable |
| Rest of Georgia | $124.71 | Unavailable |
| Rest of Illinois | $127.65 | Unavailable |
| Rest of Louisiana | $123.15 | Unavailable |
| Rest of Maine | $122.94 | Unavailable |
| Rest of Maryland | $129.48 | Unavailable |
| Rest of Massachusetts | $131.16 | Unavailable |
| Rest of Michigan | $125.33 | Unavailable |
| Rest of Missouri | $122.19 | Unavailable |
| Rest of New Jersey | $136.40 | Unavailable |
| Rest of New York | $124.73 | Unavailable |
| Rest of Oregon | $126.82 | Unavailable |
| Rest of Pennsylvania | $124.57 | Unavailable |
| Rest of Texas | $125.76 | Unavailable |
| Rest of Washington | $130.74 | Unavailable |
| Rhode Island | $130.99 | Unavailable |
| Riverside, CA | $133.57 | Unavailable |
| Sacramento, CA | $136.32 | Unavailable |
| Salinas, CA | $135.75 | Unavailable |
| San Benito County, CA | $154.75 | Unavailable |
| San Diego, CA | $137.38 | Unavailable |
| San Francisco, CA | $151.54 | Unavailable |
| San Luis Obispo, CA | $133.75 | Unavailable |
| Santa Clara County, CA | $154.01 | Unavailable |
| Santa Cruz, CA | $137.51 | Unavailable |
| Santa Maria, CA | $135.83 | Unavailable |
| Santa Rosa, CA | $138.81 | Unavailable |
| South Carolina | $124.34 | Unavailable |
| South Dakota | $125.04 | Unavailable |
| Southern Maine, ME | $126.21 | Unavailable |
| Stockton, CA | $131.80 | Unavailable |
| Suburban Chicago, IL | $134.49 | Unavailable |
| Tennessee | $121.99 | Unavailable |
| Utah | $125.32 | Unavailable |
| Vallejo, CA | $145.05 | Unavailable |
| Vermont | $125.50 | Unavailable |
| Virgin Islands, VI | $129.01 | Unavailable |
| Virginia | $126.25 | Unavailable |
| Visalia, CA | $131.80 | Unavailable |
| Washington, DC area | $141.49 | Unavailable |
| West Virginia | $124.95 | Unavailable |
| Wisconsin | $122.99 | Unavailable |
| Wyoming | $127.20 | Unavailable |
| Yuba City, CA | $131.80 | Unavailable |
G2008 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.
$119.60
$168.06
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 | $168.06 | 1 |
| AL | $120.60 | 1 |
| AR | $119.60 | 1 |
| AZ | $126.42 | 1 |
| CA | $131.80–$154.75 | 29 |
| CO | $131.26 | 1 |
| CT | $134.77 | 1 |
| DC | $141.49 | 1 |
| DE | $127.90 | 1 |
| FL | $129.28–$138.63 | 3 |
| GA | $124.71–$130.63 | 2 |
| GU | $132.57 | 1 |
| HI | $132.57 | 1 |
| IA | $121.51 | 1 |
| ID | $122.14 | 1 |
| IL | $127.65–$136.29 | 4 |
| IN | $122.53 | 1 |
| KS | $121.58 | 1 |
| KY | $123.10 | 1 |
| LA | $123.15–$126.64 | 2 |
| MA | $131.16–$140.01 | 2 |
| MD | $129.48–$141.49 | 3 |
| ME | $122.94–$126.21 | 2 |
| MI | $125.33–$130.67 | 2 |
| MN | $126.15 | 1 |
| MO | $122.19–$126.42 | 3 |
| MS | $120.88 | 1 |
| MT | $128.58 | 1 |
| NC | $123.62 | 1 |
| ND | $125.42 | 1 |
| NE | $121.77 | 1 |
| NH | $129.79 | 1 |
| NJ | $136.40–$141.13 | 2 |
| NM | $125.90 | 1 |
| NV | $127.75 | 1 |
| NY | $124.73–$146.74 | 5 |
| OH | $124.68 | 1 |
| OK | $122.54 | 1 |
| OR | $126.82–$133.51 | 2 |
| PA | $124.57–$132.89 | 2 |
| PR | $129.01 | 1 |
| RI | $130.99 | 1 |
| SC | $124.34 | 1 |
| SD | $125.04 | 1 |
| TN | $121.99 | 1 |
| TX | $124.13–$130.91 | 8 |
| UT | $125.32 | 1 |
| VA | $126.25–$141.49 | 2 |
| VI | $129.01 | 1 |
| VT | $125.50 | 1 |
| WA | $130.74–$141.82 | 2 |
| WI | $122.99 | 1 |
| WV | $124.95 | 1 |
| WY | $127.20 | 1 |
How the G2008 rate is calculated
Each of G2008’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 · G2008
RVUs × geographic indexes × conversion factor
Work2.33
2.33 RVUs× 1.000 GPCI
Practice expense1.36
1.36 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
3.8500
Conversion factor
$33.4009
Medicare rate
$128.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G2008
G2008 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 · G2008
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$128.59
Higher because the practice carries its own overhead.
G2008 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G2003Home visitNew patient, 45 minutes
- Both are for 45-minute post-discharge home visits; use G2008 for an established patient and G2003 for a new patient.
- G2007Home visitEstablished patient, 30 minutes
- G2007 is the 30-minute established-patient level. G2008 represents the 45-minute level.
- G2009Home visitEstablished patient, 60 minutes
- G2009 is the 60-minute established-patient level. G2008 represents the 45-minute level.
G2008 billing questions
How does G2008 differ from G2003?
Both identify a 45-minute post-discharge home visit. G2008 is for an established patient; G2003 is the corresponding new-patient level.
When would G2007 or G2009 be a closer match?
Those codes represent the 30-minute and 60-minute established-patient levels, respectively. Choose among them and G2008 based on the documented visit time.
What should the note support?
Document the patient’s established status, the post-discharge context, that the encounter took place in the home, and the time supporting the selected level.
Is G2008 for a new patient?
No. G2008 is the established-patient 45-minute level; G2003 is the corresponding 45-minute code for a new patient.
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 G2008 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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