HCPCS G0372: PMD physician serviceMedicare rate & RVUs in Delaware
Reports a physician’s face-to-face power mobility device assessment and related order and documentation work for a patient who needs powered mobility in the home.
Medicare pays $9.31 for G0372 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G0372 covers
G0372 represents physician work for evaluating a patient’s need for a power mobility device intended for use in the home. The service includes a face-to-face assessment, completing the required order before delivery, and sending supporting records to the equipment supplier. It commonly arises when a patient with mobility limitations from a neurologic, orthopedic, or other condition is being considered for a powered wheelchair or scooter. The physician documents the patient’s mobility needs and the clinical basis for the requested device.
Report G0372 for the PMD-specific assessment and documentation work, not for the wheelchair or scooter itself. The record should support the face-to-face evaluation, the order, and the information provided to the supplier. A separately furnished office E/M service may be reported using the code that reflects that visit’s documented work. CMS values G0372 under the Physician Fee Schedule with work and practice-expense inputs; the practice-expense inputs differ between office and facility settings. The equipment supplier reports the device on its own claim.
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.
G0372 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $9.31 | $7.66 |
How the G0372 rate is calculated
Each of G0372’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.
How the rate is built · G0372
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.10
0.10 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2800
Conversion factor
$33.4009
Medicare rate
$9.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0372
G0372 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.
Place of service · G0372
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$9.35
- Non-facility (office)
- $9.35
- Facility
- $7.68
Higher because the practice carries its own overhead.
G0372 compared with similar codes
Compare codes · National
G0372 vs 99214: Medicare rates
How to choose
- 99214Office visit
- 99214 reports an established-patient office E/M service based on the visit’s documented requirements. G0372 represents the distinct PMD assessment, order, and supporting documentation work.
G0372 billing questions
Is G0372 an office E/M code?
No. It represents the physician’s PMD-specific assessment and documentation work; an office E/M code represents a separately furnished evaluation and management service.
Can G0372 be reported with an E/M service?
A physician may report a separately furnished E/M service for the same encounter when its documentation supports that service. The E/M level should reflect the visit, not the device paperwork alone.
What documentation supports G0372?
Document the face-to-face PMD assessment, the clinical need for powered mobility in the home, the completed order, and the supporting records sent to the supplier.
Does G0372 cover the wheelchair or scooter?
No. G0372 describes physician assessment and documentation work. The equipment supplier reports the power mobility device separately.
Should G0372 be reported for follow-up paperwork alone?
The service includes a face-to-face PMD assessment as well as the order and supporting documentation. Documentation should show that assessment, not paperwork submission alone.
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
Show the CMS file lines behind this rate
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