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

Reports more than 60 minutes of care-plan oversight after discharge, such as monitoring the transition plan and coordinating follow-up care.

CMS RVU26DEffective Oct 1, 202629 payment localities

Medicare pays $105.75–$124.63 for G2015 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$105.75–$124.63Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What G2015 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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 in California

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

29 payment localities

$105.75 to $124.63

$105.75$115.19$124.63
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

G2015 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$106.21Unavailable
Chico, CA$105.75Unavailable
El Centro, CA$105.77Unavailable
Fresno, CA$105.75Unavailable
Hanford, CA$105.75Unavailable
Los Angeles, CA$111.13Unavailable
Madera, CA$105.75Unavailable
Marin County, CA$122.14Unavailable
Merced, CA$105.75Unavailable
Modesto, CA$105.75Unavailable

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.

How the rate is built · G2015

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.80

1.80 RVUs× 1.000 GPCI

Practice expense1.15

1.15 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

3.0900

Conversion factor

$33.4009

Medicare rate

$103.21

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

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.

Place of service · G2015

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$103.21

Higher because the practice carries its own overhead.

G2015 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • G2015

    Care plan oversight, post-discharge, over 60 minutes1.8 wRVU

    $103.21

  • G2014

    Care plan oversight, post-discharge, 30-minute threshold1.25 wRVU

    $73.82−$29.39

  • G2004

    Home visit, new patient, 60 minutes3.38 wRVU

    $163.66+$60.45

  • G2009

    Home visit, established patient, 60 minutes3.28 wRVU

    $182.37+$79.16

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.

G2015 billing questions

How is G2015 different from G2014?

Both describe post-discharge care-plan oversight, but G2015 is for more than 60 minutes; G2014 is the lower time-level code.

Can G2015 be used for a post-discharge home visit?

Not for the visit itself. G2015 represents care-plan oversight; use a post-discharge home-visit code when the documented service is a home visit.

What time should the record support?

Document more than 60 minutes of post-discharge care-plan oversight and identify the work performed.

Does a care-plan review by itself support G2015?

The record should support the extended oversight service, not merely note that a plan was reviewed. Include the care-plan issues addressed and coordination 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

Show the CMS file lines behind this rate
RVUs for G2015PPRRVU2026_Oct_nonQPP.csv, line 15,422 (RVU26D)

Open CMS sourceHow we calculate rates

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