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CMS RVU26D · Effective 2026-10-01

G0087 in Delaware

Office / nonfacility

$102.58

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Care management

About G0087: Home care plan management, 60 minutes

Reports 60 minutes of clinician care management focused on a patient’s home care plan, rather than a time-based home visit.

G0087 represents clinician work focused on managing a patient’s home care plan. A physician or other qualified health care professional may review the plan, coordinate care with the home health team, address changes in the patient’s needs, and document follow-up related to the plan. The service is distinct from a home visit: its focus is care-plan management, not an in-person evaluation at the patient’s residence.

Report this code when the documented care-management work supports the 60-minute service interval. The record should identify the plan being managed, the coordination or review performed, the time spent, and the connection between the work and the patient’s home-based care. G0086 describes the corresponding 30-minute service. Under the Medicare Physician Fee Schedule, CMS assigns work, practice expense, and malpractice relative value units to G0087; the payment amount is determined through the applicable fee schedule data.

Where the value comes from

  • Work RVU1.80 · 58%
  • Practice expense (office) RVU1.15 · 37%
  • Malpractice RVU0.14 · 5%

15

Medicare services in 2024 · #6087 by national volume

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.

G0087 compared with similar codes

Office rates for Delaware, from the same CMS release.

G0086

Care management

Home care plan, 30 minutes

$73.34

G0086 is the 30-minute home care plan management service; G0087 is the 60-minute service.

G0079

Care management visit

New patient, 60 minutes

$163.14

G0079 describes a 60-minute home visit for a new patient. G0087 describes management work centered on the home care plan.

G0084

Home care management

Established patient, 60 minutes

$181.33

G0084 is a 60-minute home visit for an established patient; G0087 is care-plan management rather than a home evaluation.

The same code, a different location

How does Delaware compare?

G0087 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $102.58

  2. $8.55 higher than Delaware

  3. $11.24 higher than Delaware

  4. Miami

    $111.93

    $9.35 higher than Delaware

  5. Chicago

    $109.88

    $7.30 higher than Delaware

  6. Manhattan

    $116.02

    $13.44 higher than Delaware

  7. Alaska*

    $133.67

    $31.09 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, G0087 ranges from $95.52 in Arkansas to $133.67 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Alabama

    Alabama · G0087

    Office

    $96.38

    Facility

    Unavailable

    $6.20 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · G0087

    Office

    $95.52

    Facility

    Unavailable

    $7.06 lower than Delaware for the office setting.

  • Arizona

    Arizona · G0087

    Office

    $101.34

    Facility

    Unavailable

    $1.24 lower than Delaware for the office setting.

  • Bakersfield

    California · G0087

    Office

    $106.21

    Facility

    Unavailable

    $3.63 higher than Delaware for the office setting.

  • Chico

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • El Centro

    California · G0087

    Office

    $105.77

    Facility

    Unavailable

    $3.19 higher than Delaware for the office setting.

  • Fresno

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Madera

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Merced

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Modesto

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Napa

    California · G0087

    Office

    $116.91

    Facility

    Unavailable

    $14.33 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0087

    Office

    $110.12

    Facility

    Unavailable

    $7.54 higher than Delaware for the office setting.

  • Redding

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Rest Of California

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0087

    Office

    $107.29

    Facility

    Unavailable

    $4.71 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0087

    Office

    $109.46

    Facility

    Unavailable

    $6.88 higher than Delaware for the office setting.

  • Salinas

    California · G0087

    Office

    $109.01

    Facility

    Unavailable

    $6.43 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0087

    Office

    $110.40

    Facility

    Unavailable

    $7.82 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0087

    Office

    $122.14

    Facility

    Unavailable

    $19.56 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · G0087

    Office

    $121.98

    Facility

    Unavailable

    $19.40 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · G0087

    Office

    $124.63

    Facility

    Unavailable

    $22.05 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · G0087

    Office

    $123.98

    Facility

    Unavailable

    $21.40 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0087

    Office

    $107.40

    Facility

    Unavailable

    $4.82 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · G0087

    Office

    $110.56

    Facility

    Unavailable

    $7.98 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · G0087

    Office

    $109.10

    Facility

    Unavailable

    $6.52 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · G0087

    Office

    $111.60

    Facility

    Unavailable

    $9.02 higher than Delaware for the office setting.

  • Stockton

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Vallejo

    California · G0087

    Office

    $116.68

    Facility

    Unavailable

    $14.10 higher than Delaware for the office setting.

  • Visalia

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Yuba City

    California · G0087

    Office

    $105.75

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Colorado

    Colorado · G0087

    Office

    $105.36

    Facility

    Unavailable

    $2.78 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · G0087

    Office

    $108.35

    Facility

    Unavailable

    $5.77 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · G0087

    Office

    $107.49

    Facility

    Unavailable

    $4.91 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · G0087

    Office

    $103.87

    Facility

    Unavailable

    $1.29 higher than Delaware for the office setting.

  • Atlanta

    Georgia · G0087

    Office

    $104.94

    Facility

    Unavailable

    $2.36 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · G0087

    Office

    $99.96

    Facility

    Unavailable

    $2.62 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · G0087

    Office

    $106.50

    Facility

    Unavailable

    $3.92 higher than Delaware for the office setting.

  • Iowa

    Iowa · G0087

    Office

    $97.12

    Facility

    Unavailable

    $5.46 lower than Delaware for the office setting.

  • Idaho

    Idaho · G0087

    Office

    $97.67

    Facility

    Unavailable

    $4.91 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · G0087

    Office

    $104.88

    Facility

    Unavailable

    $2.30 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · G0087

    Office

    $102.50

    Facility

    Unavailable

    $0.08 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · G0087

    Office

    $108.28

    Facility

    Unavailable

    $5.70 higher than Delaware for the office setting.

  • Indiana

    Indiana · G0087

    Office

    $98.00

    Facility

    Unavailable

    $4.58 lower than Delaware for the office setting.

  • Kansas

    Kansas · G0087

    Office

    $97.20

    Facility

    Unavailable

    $5.38 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · G0087

    Office

    $98.55

    Facility

    Unavailable

    $4.03 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · G0087

    Office

    $101.58

    Facility

    Unavailable

    $1.00 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · G0087

    Office

    $98.60

    Facility

    Unavailable

    $3.98 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · G0087

    Office

    $112.61

    Facility

    Unavailable

    $10.03 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0087

    Office

    $105.26

    Facility

    Unavailable

    $2.68 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0087

    Office

    $108.08

    Facility

    Unavailable

    $5.50 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · G0087

    Office

    $103.89

    Facility

    Unavailable

    $1.31 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · G0087

    Office

    $98.37

    Facility

    Unavailable

    $4.21 lower than Delaware for the office setting.

  • Southern Maine

    Maine · G0087

    Office

    $101.14

    Facility

    Unavailable

    $1.44 lower than Delaware for the office setting.

  • Detroit

    Michigan · G0087

    Office

    $105.07

    Facility

    Unavailable

    $2.49 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · G0087

    Office

    $100.47

    Facility

    Unavailable

    $2.11 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · G0087

    Office

    $101.03

    Facility

    Unavailable

    $1.55 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · G0087

    Office

    $100.76

    Facility

    Unavailable

    $1.82 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · G0087

    Office

    $101.37

    Facility

    Unavailable

    $1.21 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · G0087

    Office

    $97.79

    Facility

    Unavailable

    $4.79 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · G0087

    Office

    $96.65

    Facility

    Unavailable

    $5.93 lower than Delaware for the office setting.

  • Montana**

    Montana · G0087

    Office

    $103.20

    Facility

    Unavailable

    $0.62 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · G0087

    Office

    $98.95

    Facility

    Unavailable

    $3.63 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · G0087

    Office

    $100.43

    Facility

    Unavailable

    $2.15 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · G0087

    Office

    $97.34

    Facility

    Unavailable

    $5.24 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · G0087

    Office

    $104.20

    Facility

    Unavailable

    $1.62 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · G0087

    Office

    $113.46

    Facility

    Unavailable

    $10.88 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · G0087

    Office

    $109.60

    Facility

    Unavailable

    $7.02 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · G0087

    Office

    $100.96

    Facility

    Unavailable

    $1.62 lower than Delaware for the office setting.

  • Nevada**

    Nevada · G0087

    Office

    $102.47

    Facility

    Unavailable

    $0.11 lower than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0087

    Office

    $118.32

    Facility

    Unavailable

    $15.74 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0087

    Office

    $110.55

    Facility

    Unavailable

    $7.97 higher than Delaware for the office setting.

  • Queens

    New York · G0087

    Office

    $116.11

    Facility

    Unavailable

    $13.53 higher than Delaware for the office setting.

  • Rest Of New York

    New York · G0087

    Office

    $99.90

    Facility

    Unavailable

    $2.68 lower than Delaware for the office setting.

  • Ohio

    Ohio · G0087

    Office

    $99.90

    Facility

    Unavailable

    $2.68 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · G0087

    Office

    $98.06

    Facility

    Unavailable

    $4.52 lower than Delaware for the office setting.

  • Portland

    Oregon · G0087

    Office

    $107.24

    Facility

    Unavailable

    $4.66 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · G0087

    Office

    $101.67

    Facility

    Unavailable

    $0.91 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0087

    Office

    $106.77

    Facility

    Unavailable

    $4.19 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0087

    Office

    $99.80

    Facility

    Unavailable

    $2.78 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · G0087

    Office

    $103.56

    Facility

    Unavailable

    $0.98 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · G0087

    Office

    $105.11

    Facility

    Unavailable

    $2.53 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · G0087

    Office

    $99.59

    Facility

    Unavailable

    $2.99 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · G0087

    Office

    $100.10

    Facility

    Unavailable

    $2.48 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · G0087

    Office

    $97.55

    Facility

    Unavailable

    $5.03 lower than Delaware for the office setting.

  • Austin

    Texas · G0087

    Office

    $105.02

    Facility

    Unavailable

    $2.44 higher than Delaware for the office setting.

  • Beaumont

    Texas · G0087

    Office

    $99.42

    Facility

    Unavailable

    $3.16 lower than Delaware for the office setting.

  • Brazoria

    Texas · G0087

    Office

    $102.32

    Facility

    Unavailable

    $0.26 lower than Delaware for the office setting.

  • Dallas

    Texas · G0087

    Office

    $102.93

    Facility

    Unavailable

    $0.35 higher than Delaware for the office setting.

  • Fort Worth

    Texas · G0087

    Office

    $102.61

    Facility

    Unavailable

    $0.03 higher than Delaware for the office setting.

  • Galveston

    Texas · G0087

    Office

    $102.62

    Facility

    Unavailable

    $0.04 higher than Delaware for the office setting.

  • Houston

    Texas · G0087

    Office

    $105.18

    Facility

    Unavailable

    $2.60 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · G0087

    Office

    $100.80

    Facility

    Unavailable

    $1.78 lower than Delaware for the office setting.

  • Utah

    Utah · G0087

    Office

    $100.43

    Facility

    Unavailable

    $2.15 lower than Delaware for the office setting.

  • Virginia

    Virginia · G0087

    Office

    $101.18

    Facility

    Unavailable

    $1.40 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0087

    Office

    $103.56

    Facility

    Unavailable

    $0.98 higher than Delaware for the office setting.

  • Vermont

    Vermont · G0087

    Office

    $100.51

    Facility

    Unavailable

    $2.07 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · G0087

    Office

    $104.91

    Facility

    Unavailable

    $2.33 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · G0087

    Office

    $114.08

    Facility

    Unavailable

    $11.50 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · G0087

    Office

    $98.36

    Facility

    Unavailable

    $4.22 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · G0087

    Office

    $100.19

    Facility

    Unavailable

    $2.39 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · G0087

    Office

    $101.99

    Facility

    Unavailable

    $0.59 lower than Delaware for the office setting.

See how rates vary across the country

G0087 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$95.52

$133.67

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$133.671
AL$96.381
AR$95.521
AZ$101.341
CA$105.75–$124.6329
CO$105.361
CT$108.351
DC$113.821
DE$102.581
FL$103.87–$111.933
GA$99.96–$104.942
GU$106.501
HI$106.501
IA$97.121
ID$97.671
IL$102.50–$109.884
IN$98.001
KS$97.201
KY$98.551
LA$98.60–$101.582
MA$105.26–$112.612
MD$103.89–$113.823
ME$98.37–$101.142
MI$100.47–$105.072
MN$101.031
MO$97.79–$101.373
MS$96.651
MT$103.201
NC$98.951
ND$100.431
NE$97.341
NH$104.201
NJ$109.60–$113.462
NM$100.961
NV$102.471
NY$99.90–$118.325
OH$99.901
OK$98.061
OR$101.67–$107.242
PA$99.80–$106.772
PR$103.561
RI$105.111
SC$99.591
SD$100.101
TN$97.551
TX$99.42–$105.188
UT$100.431
VA$101.18–$113.822
VI$103.561
VT$100.511
WA$104.91–$114.082
WI$98.361
WV$100.191
WY$101.991

Explore G0087 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for G0087 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$112.84

$102.58 × 110% = $112.84

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0087 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

15,079

Code
G0087
Physician work
1.80
Practice expense
1.15
Malpractice
0.14

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for G0087 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.80× 1.0051.8090
Practice expense1.15× 0.9881.1362
Malpractice0.14× 0.8990.1259
Total RVUs3.0711
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$102.58

Open G0087 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.81.005
Practice expense1.150.988
Malpractice0.140.899

(1.8 × 1.005 + 1.15 × 0.988 + 0.14 × 0.899) × $33.4009 = $102.58

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

G0087 · Office / nonfacility

$102.58

Effective 2026-10-01

The base rate is $1.99 higher than on 2025-10-01, moving from $100.59 to $102.58 (2.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $100.59changed to$102.58

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.17 changed to 1.15
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $100.59

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$102.58Not available in this settingRVU26D
2026-07-01$102.58Not available in this settingRVU26C
2026-04-01$102.58Not available in this settingRVU26B
2026-01-01$102.58Not available in this settingRVU26A
2025-10-01$100.59Not available in this settingRVU25D
2025-07-01$100.59Not available in this settingRVU25C
2025-04-01$100.59Not available in this settingRVU25B
2025-01-01$100.59Not available in this settingRVU25A

G0087 billing questions

How is G0087 different from G0086?

Both describe management focused on a home care plan. G0087 is the 60-minute service; G0086 is the 30-minute service.

Can G0087 be reported for a home visit?

G0087 is for care-plan management, not an in-person home visit. Use a home-visit code when the service is a patient evaluation at home.

What documentation supports G0087?

Document the home care plan, the management or coordination work performed, the time spent, and how that work related to the patient’s care.

What time should the record support?

The code identifies a 60-minute service. The record should support the time and care-management work reported under G0087.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for G0087PPRRVU2026_Oct_nonQPP.csv, line 15,079 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)