HCPCS G2013: Home visitMedicare rate & RVUs

Medicare pays $217.11 for G2013 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 G2013 covers

G2013 represents an extended home visit after a patient’s discharge, for someone already established with the reporting clinician. A physician or other qualified clinician may assess recovery in the home, review the discharge plan, evaluate ongoing symptoms, and address medication changes or follow-up needs. The home setting distinguishes this service from an office visit.

Select this code for the established-patient 75-minute level, rather than a shorter established-patient level or a new-patient level. Documentation should support the post-discharge purpose, the home setting, the established-patient relationship, the work performed, and the time supporting the selected level. CMS values the service through work, practice-expense, and malpractice relative value units.

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 G2013 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

G2013 rates by state

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

How the G2013 rate is calculated

Each of G2013’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 G2013

G2013 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.

G2013 compared with similar codes

How to choose

G2009Home visit

Both describe an established-patient post-discharge home visit. Choose G2009 for the 60-minute level and G2013 for the 75-minute level.

G2005Home visit

Both represent the 75-minute post-discharge home-visit level. G2005 is for a new patient; G2013 is for an established patient.

G2014Care plan oversight

G2014 describes post-discharge care-plan oversight, rather than the established-patient home visit represented by G2013.

Codes related to G2013

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