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.
In North Dakota, Medicare pays $177.61 for G2009 in the office.
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.
On this page 11 sections
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.
- North Dakota · this page$177.61
- Los Angeles, CA · California$196.03+$18.42
- Washington, DC area · District of Columbia$200.72+$23.11
- Miami, FL · Florida$197.28+$19.67
- Chicago, IL · Illinois$193.84+$16.23
- Manhattan, NY · New York$204.58+$26.97
- Alaska · Alaska$237.76+$60.15
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $186.73 | — |
| Merced, CACalifornia | $186.73 | — |
| Modesto, CACalifornia | $186.73 | — |
| Napa, CACalifornia | $205.93 | — |
| Oxnard, CACalifornia | $194.21 | — |
| Redding, CACalifornia | $186.73 | — |
| Rest of CaliforniaCalifornia | $186.73 | — |
| Riverside, CACalifornia | $189.38 | — |
| Sacramento, CACalifornia | $193.16 | — |
| Salinas, CACalifornia | $192.35 | — |
| San Diego, CACalifornia | $194.68 | — |
| Marin County, CACalifornia | $215.01 | — |
| San Francisco, CACalifornia | $214.73 | — |
| San Benito County, CACalifornia | $219.34 | — |
| Santa Clara County, CACalifornia | $218.23 | — |
| San Luis Obispo, CACalifornia | $189.52 | — |
| Santa Cruz, CACalifornia | $194.88 | — |
| Santa Maria, CACalifornia | $192.47 | — |
| Santa Rosa, CACalifornia | $196.71 | — |
| Stockton, CACalifornia | $186.73 | — |
| Vallejo, CACalifornia | $205.54 | — |
| Visalia, CACalifornia | $186.73 | — |
| Yuba City, CACalifornia | $186.73 | — |
| ColoradoColorado | $186.08 | — |
| ConnecticutConnecticut | $191.23 | — |
| DelawareDelaware | $181.33 | — |
| Fort Lauderdale, FLFlorida | $189.69 | — |
| Rest of FloridaFlorida | $183.55 | — |
| Atlanta, GAGeorgia | $185.35 | — |
| Rest of GeorgiaGeorgia | $176.91 | — |
| Hawaii, Guam, HIHawaii | $187.87 | — |
| IowaIowa | $172.03 | — |
| IdahoIdaho | $172.96 | — |
| East St. Louis, ILIllinois | $185.31 | — |
| Rest of IllinoisIllinois | $181.24 | — |
| Suburban Chicago, ILIllinois | $191.07 | — |
| IndianaIndiana | $173.52 | — |
| KansasKansas | $172.17 | — |
| KentuckyKentucky | $174.49 | — |
| New Orleans, LALouisiana | $179.64 | — |
| Rest of LouisianaLouisiana | $174.58 | — |
| Metropolitan Boston, MAMassachusetts | $198.55 | — |
| Rest of MassachusettsMassachusetts | $185.93 | — |
| Baltimore area, MDMaryland | $190.75 | — |
| Rest of MarylandMaryland | $183.58 | — |
| Rest of MaineMaine | $174.15 | — |
| Southern Maine, MEMaine | $178.83 | — |
| Detroit, MIMichigan | $185.60 | — |
| Rest of MichiganMichigan | $177.77 | — |
| MinnesotaMinnesota | $178.60 | — |
| Metropolitan Kansas City, MOMissouri | $178.23 | — |
| Metropolitan St. Louis, MOMissouri | $179.27 | — |
| Rest of MissouriMissouri | $173.22 | — |
| MississippiMississippi | $171.27 | — |
| MontanaMontana | $182.35 | — |
| North CarolinaNorth Carolina | $175.13 | — |
| NebraskaNebraska | $172.39 | — |
| New HampshireNew Hampshire | $184.02 | — |
| Northern New JerseyNew Jersey | $200.18 | — |
| Rest of New JerseyNew Jersey | $193.49 | — |
| New MexicoNew Mexico | $178.60 | — |
| NevadaNevada | $181.10 | — |
| NYC suburbs and Long Island, NYNew York | $208.50 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $195.14 | — |
| Queens, NYNew York | $204.72 | — |
| Rest of New YorkNew York | $176.75 | — |
| OhioOhio | $176.80 | — |
| OklahomaOklahoma | $173.65 | — |
| Portland, OROregon | $189.26 | — |
| Rest of OregonOregon | $179.73 | — |
| Metropolitan Philadelphia, PAPennsylvania | $188.54 | — |
| Rest of PennsylvaniaPennsylvania | $176.61 | — |
| Puerto RicoPuerto Rico | $182.96 | — |
| Rhode IslandRhode Island | $185.72 | — |
| South CarolinaSouth Carolina | $176.24 | — |
| South DakotaSouth Dakota | $177.05 | — |
| TennesseeTennessee | $172.76 | — |
| Austin, TXTexas | $185.43 | — |
| Beaumont, TXTexas | $175.97 | — |
| Brazoria, TXTexas | $180.90 | — |
| Dallas, TXTexas | $181.96 | — |
| Fort Worth, TXTexas | $181.41 | — |
| Galveston, TXTexas | $181.41 | — |
| Houston, TXTexas | $185.81 | — |
| Rest of TexasTexas | $178.29 | — |
| UtahUtah | $177.66 | — |
| VirginiaVirginia | $178.91 | — |
| Virgin Islands, VIUnited States Virgin Islands | $182.96 | — |
| VermontVermont | $177.76 | — |
| Rest of WashingtonWashington | $185.31 | — |
| King County, WAWashington | $201.09 | — |
| WisconsinWisconsin | $174.10 | — |
| West VirginiaWest Virginia | $177.34 | — |
| WyomingWyoming | $180.28 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $237.76 | 1 |
| AL | $170.79 | 1 |
| AR | $169.34 | 1 |
| AZ | $179.21 | 1 |
| CA | $186.73–$219.34 | 29 |
| CO | $186.08 | 1 |
| CT | $191.23 | 1 |
| DC | $200.72 | 1 |
| DE | $181.33 | 1 |
| FL | $183.55–$197.28 | 3 |
| GA | $176.91–$185.35 | 2 |
| GU | $187.87 | 1 |
| HI | $187.87 | 1 |
| IA | $172.03 | 1 |
| ID | $172.96 | 1 |
| IL | $181.24–$193.84 | 4 |
| IN | $173.52 | 1 |
| KS | $172.17 | 1 |
| KY | $174.49 | 1 |
| LA | $174.58–$179.64 | 2 |
| MA | $185.93–$198.55 | 2 |
| MD | $183.58–$200.72 | 3 |
| ME | $174.15–$178.83 | 2 |
| MI | $177.77–$185.60 | 2 |
| MN | $178.60 | 1 |
| MO | $173.22–$179.27 | 3 |
| MS | $171.27 | 1 |
| MT | $182.35 | 1 |
| NC | $175.13 | 1 |
| ND | $177.61 | 1 |
| NE | $172.39 | 1 |
| NH | $184.02 | 1 |
| NJ | $193.49–$200.18 | 2 |
| NM | $178.60 | 1 |
| NV | $181.10 | 1 |
| NY | $176.75–$208.50 | 5 |
| OH | $176.80 | 1 |
| OK | $173.65 | 1 |
| OR | $179.73–$189.26 | 2 |
| PA | $176.61–$188.54 | 2 |
| PR | $182.96 | 1 |
| RI | $185.72 | 1 |
| SC | $176.24 | 1 |
| SD | $177.05 | 1 |
| TN | $172.76 | 1 |
| TX | $175.97–$185.81 | 8 |
| UT | $177.66 | 1 |
| VA | $178.91–$200.72 | 2 |
| VI | $182.96 | 1 |
| VT | $177.76 | 1 |
| WA | $185.31–$201.09 | 2 |
| WI | $174.10 | 1 |
| WV | $177.34 | 1 |
| WY | $180.28 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.28 | × 1.000 | 3.2800 |
| Practice expense | 1.94 | × 1.000 | 1.9400 |
| Malpractice | 0.24 | × 0.406 | 0.0974 |
| Total RVUs | 5.3174 | ||
| 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
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.
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
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.
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.
March 9, 2024
RVU24AR
$166.47changed to$169.24
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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.
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.
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.
April 1, 2020
RVU20B
$179.40changed to$178.52
- Malpractice RVU 0.27 changed to 0.22
Held through RVU20C, RVU20D.
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
April 1, 2019
RVU19B
No ratechanged to$178.18
Held through RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $177.61 | Not available in this setting | RVU26D |
| 2026-07-01 | $177.61 | Not available in this setting | RVU26C |
| 2026-04-01 | $177.61 | Not available in this setting | RVU26B |
| 2026-01-01 | $177.61 | Not available in this setting | RVU26A |
| 2025-10-01 | $163.96 | Not available in this setting | RVU25D |
| 2025-07-01 | $163.96 | Not available in this setting | RVU25C |
| 2025-04-01 | $163.96 | Not available in this setting | RVU25B |
| 2025-01-01 | $163.96 | Not available in this setting | RVU25A |
| 2024-10-01 | $169.24 | Not available in this setting | RVU24D |
| 2024-07-01 | $169.24 | Not available in this setting | RVU24C |
| 2024-04-01 | $169.24 | Not available in this setting | RVU24B |
| 2024-03-09 | $169.24 | Not available in this setting | RVU24AR |
| 2024-01-01 | $166.47 | Not available in this setting | RVU24A |
| 2023-10-01 | $171.08 | Not available in this setting | RVU23D |
| 2023-07-01 | $171.08 | Not available in this setting | RVU23C |
| 2023-04-01 | $171.08 | Not available in this setting | RVU23B |
| 2023-01-01 | $171.08 | Not available in this setting | RVU23A |
| 2022-10-01 | $173.00 | Not available in this setting | RVU22D |
| 2022-07-01 | $173.00 | Not available in this setting | RVU22C |
| 2022-04-01 | $173.00 | Not available in this setting | RVU22B |
| 2022-01-01 | $173.00 | Not available in this setting | RVU22A |
| 2021-10-01 | $174.28 | Not available in this setting | RVU21D |
| 2021-07-01 | $174.28 | Not available in this setting | RVU21C |
| 2021-04-01 | $174.28 | Not available in this setting | RVU21B |
| 2021-01-01 | $174.28 | Not available in this setting | RVU21A |
| 2020-10-01 | $178.52 | Not available in this setting | RVU20D |
| 2020-07-01 | $178.52 | Not available in this setting | RVU20C |
| 2020-04-01 | $178.52 | Not available in this setting | RVU20B |
| 2020-01-01 | $179.40 | Not available in this setting | RVU20A |
| 2019-10-01 | $178.18 | $178.18 | RVU19D |
| 2019-07-01 | $178.18 | $178.18 | RVU19C |
| 2019-04-01 | $178.18 | $178.18 | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
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
Fee sheets · Coming soon
Put G2009 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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