$163.14
Use G2004 for a new-patient post-discharge home visit at the 60-minute level; G2005 is the 75-minute level.
On this page
CMS RVU26D · Effective 2026-10-01
G2005 Home visit Medicare reimbursement rates in Delaware
Reports a 75-minute home visit for a new patient after discharge, when a clinician assesses the patient’s needs in the home setting. Compare G2005 office and facility rates across CMS payment localities in Delaware.
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 G2005 in Delaware?
Delaware 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
$216.08
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Home and residence services
About G2005: Post-discharge new-patient home visit
Reports a 75-minute home visit for a new patient after discharge, when a clinician assesses the patient’s needs in the home setting.
G2005 identifies a home visit for a new patient after discharge, at the 75-minute level. A physician or other qualified clinician sees the patient in the home to assess the patient’s condition and needs during the transition from a facility to home. The setting and post-discharge context distinguish this service from an office visit or a routine home visit unrelated to a discharge.
Select this code when the patient meets the new-patient criteria and the documented service supports the 75-minute level. The record should identify the discharge context, the home setting, the clinician’s assessment and management, and the time supporting the selected level. CMS assigns work, practice-expense, and malpractice relative value units to G2005; the claim should reflect the service and applicable site of service. The supplied CMS rules do not specify additional payment adjustments for this code.
Where the value comes from
- Work RVU4.09 · 63%
- Practice expense (office) RVU2.16 · 33%
- Malpractice RVU0.25 · 4%
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.
G2005 compared with similar codes
Office rates for Delaware, from the same CMS release.
$216.08
Both are 75-minute post-discharge home visits. Choose G2005 for a new patient and G2013 for an established patient.
$49.29
G2006 is for an established patient at the 20-minute level. G2005 is for a new patient at the 75-minute level.
Compare G2005 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
Delaware →
Office / nonfacility
$216.08
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 G2005 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
15,413
- Code
- G2005
- Physician work
- 4.09
- Practice expense
- 2.16
- Malpractice
- 0.25
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.09 | × 1.005 | 4.1104 |
| Practice expense | 2.16 | × 0.988 | 2.1341 |
| Malpractice | 0.25 | × 0.899 | 0.2248 |
| Total RVUs | 6.4693 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$216.08
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.09 | 1.005 |
| Practice expense | 2.16 | 0.988 |
| Malpractice | 0.25 | 0.899 |
(4.09 × 1.005 + 2.16 × 0.988 + 0.25 × 0.899) × $33.4009 = $216.08
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.
G2005 billing questions
How does G2005 differ from G2004?
Both describe post-discharge home visits for new patients. G2004 is the 60-minute level; G2005 is the 75-minute level.
How does G2005 differ from G2013?
Both describe a 75-minute post-discharge home visit. G2005 is for a new patient, while G2013 is for an established patient.
What documentation supports the 75-minute level?
Document the home setting, the post-discharge context, the patient’s new-patient status, the assessment and management performed, and the time supporting the level.
Can G2005 be used for a routine home visit?
The code describes a home visit after discharge for a new patient. A routine home visit without that post-discharge context does not match its description.
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.
15,410G2002,,Post-d/c h vst new pt 30 m,A,,1.52,0.64,,0.64,NA,0.07,2.23,2.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,411G2003,,Post-d/c h vst new pt 45 m,A,,2.53,0.95,,0.95,NA,0.12,3.60,3.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,412G2004,,Post-d/c h vst new pt 60 m,A,,3.38,1.36,,1.36,NA,0.16,4.90,4.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,413G2005,,Post-d/c h vst new 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
15,414G2006,,Post-d/c h vst ext pt 20 m,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
15,415G2007,,Post-d/c h vst 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
15,416G2008,,Post-d/c h vst 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
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503