HCPCS code G2009: Home visit, established patient, 60 minutes2026 Medicare rate & RVUs

Medicare pays $182.37 for G2009 nationally in the office. Local office rates run $169.34–$237.76.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G2009 covers

G2009 represents a post-discharge visit conducted in the patient’s home for someone classified as an established patient. A physician or other qualified clinician may assess recovery after an inpatient stay, review the patient’s medication regimen, evaluate symptoms or mobility, and address barriers to following the discharge plan. The setting is the patient’s home rather than a routine office follow-up.

Select this level when the service is the established-patient, 60-minute post-discharge home visit. The record should connect the visit to the discharge, identify the home setting and established-patient status, describe the assessment and care provided, and support the time level reported. CMS fee-schedule valuation assigns work, practice expense, and malpractice relative values to the 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 G2009 pays more and less

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

109 of 109 payment localities

G2009 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the G2009 rate is calculated

Each of G2009’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 G2009

G2009 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.

G2009 compared with similar codes

How to choose

G2008Home visitEstablished patient, 45 minutes

Both are established-patient post-discharge home visits; G2008 is the 45-minute level, while G2009 is the 60-minute level.

G2013Home visitEstablished patient, 75 minutes

Both are established-patient post-discharge home visits; G2013 is the 75-minute level, while G2009 is the 60-minute level.

G2004Home visitNew patient, 60 minutes

Both represent a 60-minute post-discharge home visit. G2004 is for a new patient; G2009 is for an established patient.

G2014Care plan oversightPost-discharge, 30-minute threshold

G2014 identifies post-discharge care plan oversight. G2009 describes a post-discharge home visit with the patient.

Codes related to G2009

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