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

Reports a 60-minute post-discharge home visit for an established patient, such as an in-home assessment of recovery and care needs.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Dakota, Medicare pays $177.61 for G2009 in the office.

$177.61Office (non-facility)
Not available in this settingHospital or facility
−2.6%vs the national office rate ($182.37)

Check a contract rate as a % of Medicare · G2009 nationwide

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

We’ll open G2009 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What G2009 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How North Dakota compares for G2009

Across 109 of 109 payment localities, the office rate for G2009 runs from $169.34 in Arkansas to $237.76 in Alaska. North Dakota pays $177.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

G2009 in North Dakota vs other payment areas
  1. North Dakota · this page$177.61
  2. Los Angeles, CA · California$196.03+$18.42
  3. Washington, DC area · District of Columbia$200.72+$23.11
  4. Miami, FL · Florida$197.28+$19.67
  5. Chicago, IL · Illinois$193.84+$16.23
  6. Manhattan, NY · New York$204.58+$26.97
  7. Alaska · Alaska$237.76+$60.15

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

G2009 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$170.79—
ArkansasArkansas$169.34—
ArizonaArizona$179.21—
Bakersfield, CACalifornia$187.54—
Chico, CACalifornia$186.73—
El Centro, CACalifornia$186.77—
Fresno, CACalifornia$186.73—
Hanford, CACalifornia$186.73—

G2009 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.

$169.34

$237.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G2009 office rate range by state
State / territoryOffice rate rangeLocalities
AK$237.761
AL$170.791
AR$169.341
AZ$179.211
CA$186.73–$219.3429
CO$186.081
CT$191.231
DC$200.721
DE$181.331
FL$183.55–$197.283
GA$176.91–$185.352
GU$187.871
HI$187.871
IA$172.031
ID$172.961
IL$181.24–$193.844
IN$173.521
KS$172.171
KY$174.491
LA$174.58–$179.642
MA$185.93–$198.552
MD$183.58–$200.723
ME$174.15–$178.832
MI$177.77–$185.602
MN$178.601
MO$173.22–$179.273
MS$171.271
MT$182.351
NC$175.131
ND$177.611
NE$172.391
NH$184.021
NJ$193.49–$200.182
NM$178.601
NV$181.101
NY$176.75–$208.505
OH$176.801
OK$173.651
OR$179.73–$189.262
PA$176.61–$188.542
PR$182.961
RI$185.721
SC$176.241
SD$177.051
TN$172.761
TX$175.97–$185.818
UT$177.661
VA$178.91–$200.722
VI$182.961
VT$177.761
WA$185.31–$201.092
WI$174.101
WV$177.341
WY$180.281

See G2009 in every payment locality

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.

How the rate is built · G2009

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.28

3.28 RVUs× 1.000 GPCI

Practice expense1.94

1.94 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

5.4600

Conversion factor

$33.4009

Medicare rate

$182.37

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,417

Code
G2009
Physician work
3.28
Practice expense
1.94
Malpractice
0.24

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for G2009 in North Dakota
ComponentRVULocality factorAdjusted
Physician work3.28× 1.0003.2800
Practice expense1.94× 1.0001.9400
Malpractice0.24× 0.4060.0974
Total RVUs5.3174
Conversion factor× 33.4009

Office rate, North Dakota$177.61

Office: (3.28 × 1 + 1.94 × 1 + 0.24 × 0.406) × $33.4009 = $177.61

Open G2009 in the RVU calculator

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.

Place of service · G2009

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$182.37

Higher because the practice carries its own overhead.

How G2009 has changed in North Dakota

G2009 · Office / nonfacility

$177.61

Effective 2026-10-01

The base rate is $13.65 higher than on 2025-10-01, moving from $163.96 to $177.61 (8.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $163.96changed to$177.61

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.67 changed to 1.94
    • Malpractice RVU 0.23 changed to 0.24
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $169.24changed to$163.96

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.68 changed to 1.67
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $166.47changed to$169.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $171.08changed to$166.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.65 changed to 1.68
    • Malpractice RVU 0.25 changed to 0.24
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $173.00changed to$171.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.65
    • Malpractice RVU 0.23 changed to 0.25
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $174.28changed to$173.00

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.22 changed to 0.23

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $178.52changed to$174.28

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.56 changed to 1.62
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. April 1, 2020

    RVU20B

    $179.40changed to$178.52

    • Malpractice RVU 0.27 changed to 0.22

    Held through RVU20C, RVU20D.

  9. January 1, 2020

    RVU20A

    $178.18changed to$179.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.54 changed to 1.56
    • Malpractice RVU 0.23 changed to 0.27
    • Malpractice GPCI 0.540 changed to 0.485
  10. April 1, 2019

    RVU19B

    No ratechanged to$178.18

    Held through RVU19C, RVU19D.

  11. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$177.61Not available in this settingRVU26D
2026-07-01$177.61Not available in this settingRVU26C
2026-04-01$177.61Not available in this settingRVU26B
2026-01-01$177.61Not available in this settingRVU26A
2025-10-01$163.96Not available in this settingRVU25D
2025-07-01$163.96Not available in this settingRVU25C
2025-04-01$163.96Not available in this settingRVU25B
2025-01-01$163.96Not available in this settingRVU25A
2024-10-01$169.24Not available in this settingRVU24D
2024-07-01$169.24Not available in this settingRVU24C
2024-04-01$169.24Not available in this settingRVU24B
2024-03-09$169.24Not available in this settingRVU24AR
2024-01-01$166.47Not available in this settingRVU24A
2023-10-01$171.08Not available in this settingRVU23D
2023-07-01$171.08Not available in this settingRVU23C
2023-04-01$171.08Not available in this settingRVU23B
2023-01-01$171.08Not available in this settingRVU23A
2022-10-01$173.00Not available in this settingRVU22D
2022-07-01$173.00Not available in this settingRVU22C
2022-04-01$173.00Not available in this settingRVU22B
2022-01-01$173.00Not available in this settingRVU22A
2021-10-01$174.28Not available in this settingRVU21D
2021-07-01$174.28Not available in this settingRVU21C
2021-04-01$174.28Not available in this settingRVU21B
2021-01-01$174.28Not available in this settingRVU21A
2020-10-01$178.52Not available in this settingRVU20D
2020-07-01$178.52Not available in this settingRVU20C
2020-04-01$178.52Not available in this settingRVU20B
2020-01-01$179.40Not available in this settingRVU20A
2019-10-01$178.18$178.18RVU19D
2019-07-01$178.18$178.18RVU19C
2019-04-01$178.18$178.18RVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price G2009 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

G2009 billing questions

How does G2009 differ from G2008?

Both describe post-discharge home visits for established patients. G2008 is the 45-minute level; G2009 is the 60-minute level.

When should G2004 be considered instead?

G2004 is the 60-minute post-discharge home-visit level for a new patient. G2009 is for an established patient.

What should the note support?

Document the discharge context, that the service took place in the patient’s home, the established-patient status, the work performed, and time supporting the 60-minute level.

Is G2009 a follow-up office visit?

No. G2009 identifies a post-discharge home visit. A service delivered in the office is not a home visit.

How does G2009 differ from G2014?

G2009 describes an in-person home visit after discharge. G2014 is identified as post-discharge care plan oversight, a different service.

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
RVUs for G2009PPRRVU2026_Oct_nonQPP.csv, line 15,417 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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