HCPCS G0179: Home healthMedicare rate & RVUs

Medicare pays $44.42 for G0179 nationally in the office. Local office rates run $39.89–$58.27.

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

What G0179 covers

G0179 represents a physician’s review and recertification of an existing Medicare home health plan of care. The physician assesses whether the patient continues to qualify for home health and whether the plan remains appropriate, based on the patient’s current condition and agency information. The patient need not be present. Recertification may support continued skilled nursing or therapy at home; it does not represent the therapist’s or nurse’s visit. The home health agency commonly supplies the updated plan and clinical information for the physician’s review.

Report G0179 for recertification, not the initial home health certification. Documentation should support the physician’s review, the patient’s continuing need for covered skilled services, and the signed, dated recertification and plan. This is not a time-based service reported in 15-minute increments. The CMS fee schedule assigns 0.44 work RVUs, 0.86 practice-expense RVUs in both office and facility settings, and 0.03 malpractice RVUs.

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 G0179 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

G0179 rates by state

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

How the G0179 rate is calculated

Each of G0179’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 G0179

G0179 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.

G0179 compared with similar codes

How to choose

G0180Home health certification

G0180 is for initial certification of the home health plan; G0179 is for its recertification.

G0181Home health supervision

G0181 represents physician care-plan oversight during home health services; G0179 represents recertification of the plan itself.

G0151Hhcp-serv of pt,ea 15 min

G0151 reports home health physical therapy services. G0179 reports the physician’s recertification, not therapy furnished to the patient.

Codes related to G0179

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