HCPCS G0372: PMD physician serviceMedicare rate & RVUs

Medicare pays $9.35 for G0372 nationally in the office and $7.68 in a hospital or facility. Local office rates run $8.72–$12.26.

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

What G0372 covers

G0372 represents physician work for evaluating a patient’s need for a power mobility device intended for use in the home. The service includes a face-to-face assessment, completing the required order before delivery, and sending supporting records to the equipment supplier. It commonly arises when a patient with mobility limitations from a neurologic, orthopedic, or other condition is being considered for a powered wheelchair or scooter. The physician documents the patient’s mobility needs and the clinical basis for the requested device.

Report G0372 for the PMD-specific assessment and documentation work, not for the wheelchair or scooter itself. The record should support the face-to-face evaluation, the order, and the information provided to the supplier. A separately furnished office E/M service may be reported using the code that reflects that visit’s documented work. CMS values G0372 under the Physician Fee Schedule with work and practice-expense inputs; the practice-expense inputs differ between office and facility settings. The equipment supplier reports the device on its own claim.

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 G0372 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

G0372 rates by state

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

How the G0372 rate is calculated

Each of G0372’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 G0372

G0372 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.

G0372 compared with similar codes

How to choose

99214Office visit

99214 reports an established-patient office E/M service based on the visit’s documented requirements. G0372 represents the distinct PMD assessment, order, and supporting documentation work.

Codes related to G0372

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