HCPCS code G2013: Home visit, established patient, 75 minutes2026 Medicare rate & RVUs in New Mexico

A 75-minute post-discharge home visit for an established patient, reported when a clinician evaluates recovery and ongoing needs in the patient's home.

CMS RVU26DEffective Oct 1, 2026One payment locality23 Medicare services in 2024

In New Mexico, Medicare pays $212.80 for G2013 in the office.

$212.80Office (non-facility)
Not available in this settingHospital or facility
−2.0%vs the national office rate ($217.11)

Check a contract rate as a % of Medicare · G2013 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 G2013 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What G2013 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 G2013 covers

G2013 represents an extended home visit after a patient’s discharge, for someone already established with the reporting clinician. A physician or other qualified clinician may assess recovery in the home, review the discharge plan, evaluate ongoing symptoms, and address medication changes or follow-up needs. The home setting distinguishes this service from an office visit.

Select this code for the established-patient 75-minute level, rather than a shorter established-patient level or a new-patient level. Documentation should support the post-discharge purpose, the home setting, the established-patient relationship, the work performed, and the time supporting the selected level. CMS values the service through work, practice-expense, and malpractice relative value units.

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 New Mexico compares for G2013

Across 109 of 109 payment localities, the office rate for G2013 runs from $202.88 in Arkansas to $286.35 in Alaska. New Mexico pays $212.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

G2013 in New Mexico vs other payment areas
  1. New Mexico · this page$212.80
  2. Los Angeles, CA · California$233.10+$20.30
  3. Washington, DC area · District of Columbia$238.27+$25.47
  4. Miami, FL · Florida$232.83+$20.03
  5. Chicago, IL · Illinois$229.24+$16.44
  6. Manhattan, NY · New York$242.43+$29.63
  7. Alaska · Alaska$286.35+$73.55

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

G2013 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$204.46—
ArkansasArkansas$202.88—
ArizonaArizona$213.67—
Bakersfield, CACalifornia$223.36—
Chico, CACalifornia$222.48—
El Centro, CACalifornia$222.52—
Fresno, CACalifornia$222.48—
Hanford, CACalifornia$222.48—

G2013 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.

$202.88

$286.35

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

View every state and territory as a table
G2013 office rate range by state
State / territoryOffice rate rangeLocalities
AK$286.351
AL$204.461
AR$202.881
AZ$213.671
CA$222.48–$260.1529
CO$221.531
CT$227.151
DC$238.271
DE$216.081
FL$218.13–$232.833
GA$210.92–$220.352
GU$223.471
HI$223.471
IA$205.941
ID$206.931
IL$215.53–$229.244
IN$207.551
KS$206.041
KY$208.391
LA$208.46–$213.982
MA$221.42–$235.782
MD$218.65–$238.273
ME$208.18–$213.382
MI$211.91–$220.312
MN$213.321
MO$206.93–$213.663
MS$204.901
MT$217.091
NC$209.261
ND$212.151
NE$206.361
NH$219.021
NJ$230.02–$237.822
NM$212.801
NV$215.781
NY$211.02–$246.645
OH$210.901
OK$207.521
OR$214.34–$225.162
PA$210.73–$224.132
PR$217.771
RI$221.181
SC$210.371
SD$211.561
TN$206.671
TX$210.02–$220.838
UT$211.931
VA$213.42–$238.272
VI$217.771
VT$212.261
WA$220.71–$238.792
WI$208.301
WV$211.251
WY$214.931

See G2013 in every payment locality

How the G2013 rate is calculated

Each of G2013’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 · G2013

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.09

4.09 RVUs× 1.000 GPCI

Practice expense2.16

2.16 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

6.5000

Conversion factor

$33.4009

Medicare rate

$217.11

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,420

Code
G2013
Physician work
4.09
Practice expense
2.16
Malpractice
0.25

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for G2013 in New Mexico
ComponentRVULocality factorAdjusted
Physician work4.09× 1.0004.0900
Practice expense2.16× 0.9171.9807
Malpractice0.25× 1.2010.3003
Total RVUs6.3710
Conversion factor× 33.4009

Office rate, New Mexico$212.80

Office: (4.09 × 1 + 2.16 × 0.917 + 0.25 × 1.201) × $33.4009 = $212.80

Open G2013 in the RVU calculator

Payment rules and modifiers for G2013

G2013 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 · G2013

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$217.11

Higher because the practice carries its own overhead.

How G2013 has changed in New Mexico

G2013 · Office / nonfacility

$212.80

Effective 2026-10-01

The base rate is $16.40 higher than on 2025-10-01, moving from $196.40 to $212.80 (8.4%).

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

    $196.40changed to$212.80

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.86 changed to 2.16
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $202.72changed to$196.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.88 changed to 1.86

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $199.41changed to$202.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $205.05changed to$199.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.85 changed to 1.88
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $212.68changed to$205.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.93 changed to 1.85
    • Malpractice RVU 0.28 changed to 0.25
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $215.35changed to$212.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.92 changed to 1.93
    • Malpractice RVU 0.31 changed to 0.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $222.07changed to$215.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.90 changed to 1.92
    • Malpractice RVU 0.28 changed to 0.31
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. April 1, 2020

    RVU20B

    $223.81changed to$222.07

    • Malpractice RVU 0.32 changed to 0.28

    Held through RVU20C, RVU20D.

  9. January 1, 2020

    RVU20A

    $222.38changed to$223.81

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.88 changed to 1.90
    • Malpractice RVU 0.28 changed to 0.32
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207
  10. April 1, 2019

    RVU19B

    No ratechanged to$222.38

    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$212.80Not available in this settingRVU26D
2026-07-01$212.80Not available in this settingRVU26C
2026-04-01$212.80Not available in this settingRVU26B
2026-01-01$212.80Not available in this settingRVU26A
2025-10-01$196.40Not available in this settingRVU25D
2025-07-01$196.40Not available in this settingRVU25C
2025-04-01$196.40Not available in this settingRVU25B
2025-01-01$196.40Not available in this settingRVU25A
2024-10-01$202.72Not available in this settingRVU24D
2024-07-01$202.72Not available in this settingRVU24C
2024-04-01$202.72Not available in this settingRVU24B
2024-03-09$202.72Not available in this settingRVU24AR
2024-01-01$199.41Not available in this settingRVU24A
2023-10-01$205.05Not available in this settingRVU23D
2023-07-01$205.05Not available in this settingRVU23C
2023-04-01$205.05Not available in this settingRVU23B
2023-01-01$205.05Not available in this settingRVU23A
2022-10-01$212.68Not available in this settingRVU22D
2022-07-01$212.68Not available in this settingRVU22C
2022-04-01$212.68Not available in this settingRVU22B
2022-01-01$212.68Not available in this settingRVU22A
2021-10-01$215.35Not available in this settingRVU21D
2021-07-01$215.35Not available in this settingRVU21C
2021-04-01$215.35Not available in this settingRVU21B
2021-01-01$215.35Not available in this settingRVU21A
2020-10-01$222.07Not available in this settingRVU20D
2020-07-01$222.07Not available in this settingRVU20C
2020-04-01$222.07Not available in this settingRVU20B
2020-01-01$223.81Not available in this settingRVU20A
2019-10-01$222.38$222.38RVU19D
2019-07-01$222.38$222.38RVU19C
2019-04-01$222.38$222.38RVU19B
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 G2013 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

G2013 billing questions

How does G2013 differ from G2009?

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

Can G2013 be used for a new patient?

No. G2013 is designated for an established patient. The corresponding new-patient 75-minute code is G2005.

What documentation supports G2013?

Record the post-discharge purpose, that the visit occurred in the home, the patient's established status, the assessment and management performed, and the time supporting the 75-minute level.

Does a post-discharge phone call qualify as G2013?

No. G2013 describes a home visit; a phone contact alone is not a home visit.

Is G2013 the same service as post-discharge care-plan oversight?

No. G2013 identifies an established-patient home visit, while G2014 describes post-discharge care-plan oversight. The service performed determines which code describes the work.

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 G2013PPRRVU2026_Oct_nonQPP.csv, line 15,420 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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