$191.23
Both describe an established-patient post-discharge home visit. Choose G2009 for the 60-minute level and G2013 for the 75-minute level.
On this page
CMS RVU26D · Effective 2026-10-01
G2013 Home visit Medicare reimbursement rates in Connecticut
A 75-minute post-discharge home visit for an established patient, reported when a clinician evaluates recovery and ongoing needs in the patient's home. Compare G2013 office and facility rates across CMS payment localities in Connecticut.
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 G2013 in Connecticut?
Connecticut 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
$227.15
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Post-discharge care
About G2013: Established-patient post-discharge home visit
A 75-minute post-discharge home visit for an established patient, reported when a clinician evaluates recovery and ongoing needs in the patient's home.
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.
Where the value comes from
- Work RVU4.09 · 63%
- Practice expense (office) RVU2.16 · 33%
- Malpractice RVU0.25 · 4%
23
Medicare services in 2024 · #5852 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.
G2013 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$227.15
Both represent the 75-minute post-discharge home-visit level. G2005 is for a new patient; G2013 is for an established patient.
$77.56
G2014 describes post-discharge care-plan oversight, rather than the established-patient home visit represented by G2013.
Compare G2013 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
Connecticut →
Office / nonfacility
$227.15
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 G2013 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
15,420
- Code
- G2013
- Physician work
- 4.09
- Practice expense
- 2.16
- Malpractice
- 0.25
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.09 | × 1.020 | 4.1718 |
| Practice expense | 2.16 | × 1.077 | 2.3263 |
| Malpractice | 0.25 | × 1.210 | 0.3025 |
| Total RVUs | 6.8006 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$227.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.09 | 1.02 |
| Practice expense | 2.16 | 1.077 |
| Malpractice | 0.25 | 1.21 |
(4.09 × 1.02 + 2.16 × 1.077 + 0.25 × 1.21) × $33.4009 = $227.15
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.
G2013 billing questions
How does G2013 differ from G2009?
Both are established-patient post-discharge home visits. G2013 is the 75-minute level; G2009 is the 60-minute level.
Can G2013 be used for a new patient?
No. G2013 is designated for an established patient. The corresponding new-patient 75-minute code is G2005.
What documentation supports G2013?
Record the post-discharge purpose, that the visit occurred in the home, the patient's established status, the assessment and management performed, and the time supporting the 75-minute level.
Does a post-discharge phone call qualify as G2013?
No. G2013 describes a home visit; a phone contact alone is not a home visit.
Is G2013 the same service as post-discharge care-plan oversight?
No. G2013 identifies an established-patient home visit, while G2014 describes post-discharge care-plan oversight. The service performed determines which code describes the work.
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.
15,417G2009,,Post-d/c h vst 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
15,418G2010,,Remot image submit by pt,A,,0.18,0.20,,0.05,,0.01,0.39,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,419G2011,,Alcohol/sub misuse assess,A,,0.33,0.16,,0.08,,0.03,0.52,0.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,420G2013,,Post-d/c h vst 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
15,421G2014,,Post-d/c care plan overs 30m,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
15,422G2015,,Post-d/c care plan overs 60m,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
15,423G2020,,Hi inten serv for sip model,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808