$131.26
G0083 represents the 45-minute established-patient home care-management level; G0084 is the 60-minute level.
On this page
CMS RVU26D · Effective 2026-10-01
G0084 Home care management Medicare reimbursement rates in Colorado
Reports a 60-minute home care-management visit for an established patient, with the documented time and work supporting this specific service level. Compare G0084 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for G0084 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$186.08
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Care management
About G0084: Established patient home care management, 60 minutes
Reports a 60-minute home care-management visit for an established patient, with the documented time and work supporting this specific service level.
This code represents an in-person care-management visit in the patient’s home for someone already established with the practitioner. A physician or other qualified practitioner may use the visit to assess current needs, review ongoing care, and address management or coordination issues. The 60-minute level distinguishes it from shorter and longer established-patient home care-management services.
Report the code when the patient is established, the service occurs in the home, and the documented work supports the 60-minute level. Record the visit time and the care-management activities performed. The Medicare physician fee schedule valuation for this code includes work, practice-expense, and malpractice relative values. Select the corresponding new-patient or established-patient level based on the patient’s status and the service provided.
Where the value comes from
- Work RVU3.28 · 60%
- Practice expense (office) RVU1.94 · 36%
- Malpractice RVU0.24 · 4%
795
Medicare services in 2024 · #3153 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.
G0084 compared with similar codes
Office rates for Colorado, from the same CMS release.
$221.53
G0085 represents the 75-minute established-patient home care-management level; G0084 is the 60-minute level.
$166.76
Both identify a 60-minute home care-management visit. G0079 is for a new patient, while G0084 is for an established patient.
Compare G0084 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$186.08
Facility
Unavailable
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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 G0084 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
15,076
- Code
- G0084
- Physician work
- 3.28
- Practice expense
- 1.94
- Malpractice
- 0.24
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.28 | × 1.012 | 3.3194 |
| Practice expense | 1.94 | × 1.064 | 2.0642 |
| Malpractice | 0.24 | × 0.781 | 0.1874 |
| Total RVUs | 5.5710 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$186.08
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.28 | 1.012 |
| Practice expense | 1.94 | 1.064 |
| Malpractice | 0.24 | 0.781 |
(3.28 × 1.012 + 1.94 × 1.064 + 0.24 × 0.781) × $33.4009 = $186.08
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.
G0084 billing questions
How does this code differ from G0083 and G0085?
Those codes are established-patient home care-management levels for 45 and 75 minutes, respectively. Use G0084 when the documented service supports the 60-minute level.
When should G0079 be considered instead?
G0079 is the 60-minute home care-management level for a new patient. G0084 is for an established patient.
What should the documentation support?
Document the home setting, established-patient status, time, and care-management work performed. The record should support selecting the 60-minute level.
Is G0084 the same as a home care-plan service?
No. G0084 identifies an established-patient home care-management visit at the 60-minute level; G0086 and G0087 describe home care-plan services.
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.
15,073G0081,,Care man h v ext pt 20 mi,A,,1.00,0.44,,0.44,NA,0.04,1.48,1.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,074G0082,,Care man h v ext pt 30 m,A,,1.56,0.79,,0.79,NA,0.07,2.42,2.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,075G0083,,Care man h v ext pt 45 m,A,,2.33,1.36,,1.36,NA,0.16,3.85,3.85,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,076G0084,,Care man h v ext pt 60 m,A,,3.28,1.94,,1.94,NA,0.24,5.46,5.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,077G0085,,Care man h v ext pt 75 m,A,,4.09,2.16,,2.16,NA,0.25,6.50,6.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,078G0086,,Care man home care plan 30 m,A,,1.25,0.86,,0.86,NA,0.10,2.21,2.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,079G0087,,Care man home care plan 60 m,A,,1.80,1.15,,1.15,NA,0.14,3.09,3.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899