HCPCS code G2008: Home visit, established patient, 45 minutes2026 Medicare rate & RVUs in California

Medicare pays $131.80–$154.75 for G2008 in the office in California, from Chico, CA to San Benito County, CA. 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.

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 in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

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.

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.

G2008 compared with similar codes

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.

Codes related to G2008

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates