HCPCS G2003: Home visitMedicare rate & RVUs

Medicare pays $120.24 for G2003 nationally in the office. Local office rates run $113.83–$162.76.

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

What G2003 covers

G2003 represents a clinician’s home visit with a new patient after discharge. The visit takes place in the patient’s home and is identified by the 45-minute level. It is distinct from the corresponding established-patient service and from other post-discharge home-visit levels that specify different times. The code is relevant when the clinician evaluates the patient in the home during the post-discharge period, rather than conducting a routine office encounter.

Report G2003 when the patient qualifies as new for the service and the documented visit supports this code’s 45-minute level. The record should establish the discharge context, home setting, patient status, clinical work performed, and time supporting code selection. CMS values the service through work, practice-expense, and malpractice relative value units. Choose a different code when the patient is established or the encounter supports another time level.

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 G2003 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

G2003 rates by state

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

How the G2003 rate is calculated

Each of G2003’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 G2003

G2003 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.

G2003 compared with similar codes

How to choose

G2002Home visit

Both describe post-discharge home visits for new patients. G2002 is the 30-minute level; G2003 is the 45-minute level.

G2004Home visit

Both are new-patient post-discharge home visits. G2004 represents the 60-minute level rather than G2003’s 45-minute level.

G2008Home visit

Both identify 45-minute post-discharge home visits. G2003 is for a new patient, while G2008 is for an established patient.

Codes related to G2003

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