HCPCS code G2015: Care plan oversight, post-discharge, over 60 minutes2026 Medicare rate & RVUs

Medicare pays $103.21 for G2015 nationally in the office. Local office rates run $95.52–$133.67.

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

What G2015 covers

G2015 describes extended oversight of a patient's care plan after discharge from an acute or post-acute setting. The work centers on monitoring the plan and coordinating care as the patient moves into follow-up, rather than conducting a post-discharge home visit. The clinician responsible for the patient's ongoing care may review updates, address care-plan issues, and coordinate next steps with the patient or other members of the care team.

Select this code when the documented post-discharge care-plan oversight exceeds 60 minutes. The record should identify the post-discharge plan, the oversight and coordination performed, and the time supporting the code. Distinguish that work from a separately described face-to-face home visit, such as the timed services represented by G2004 or G2009. The service is selected by its post-discharge oversight work and time threshold.

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 G2015 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

G2015 rates by state

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

How the G2015 rate is calculated

Each of G2015’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 G2015

G2015 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.

G2015 compared with similar codes

How to choose

G2014Care plan oversightPost-discharge, 30-minute threshold

Choose G2014 for post-discharge care-plan oversight at its lower time level. G2015 requires more than 60 minutes.

G2004Home visitNew patient, 60 minutes

G2004 describes a timed post-discharge home visit for a new patient. G2015 is for extended care-plan oversight, not the visit.

G2009Home visitEstablished patient, 60 minutes

G2009 describes a timed post-discharge home visit for an established patient. G2015 instead represents extended care-plan oversight.

Codes related to G2015

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