HCPCS G2005: Home visitMedicare rate & RVUs

Medicare pays $217.11 for G2005 nationally in the office. Local office rates run $202.88–$286.35.

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

What G2005 covers

G2005 identifies a home visit for a new patient after discharge, at the 75-minute level. A physician or other qualified clinician sees the patient in the home to assess the patient’s condition and needs during the transition from a facility to home. The setting and post-discharge context distinguish this service from an office visit or a routine home visit unrelated to a discharge.

Select this code when the patient meets the new-patient criteria and the documented service supports the 75-minute level. The record should identify the discharge context, the home setting, the clinician’s assessment and management, and the time supporting the selected level. CMS assigns work, practice-expense, and malpractice relative value units to G2005; the claim should reflect the service and applicable site of service. The supplied CMS rules do not specify additional payment adjustments for this code.

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 G2005 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

G2005 rates by state

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

How the G2005 rate is calculated

Each of G2005’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 G2005

G2005 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.

G2005 compared with similar codes

How to choose

G2004Home visit

Use G2004 for a new-patient post-discharge home visit at the 60-minute level; G2005 is the 75-minute level.

G2013Home visit

Both are 75-minute post-discharge home visits. Choose G2005 for a new patient and G2013 for an established patient.

G2006Home visit

G2006 is for an established patient at the 20-minute level. G2005 is for a new patient at the 75-minute level.

Codes related to G2005

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