$52.93
Choose G0180 for physician certification of home health care. G0181 is for qualifying ongoing supervision during a calendar month.
On this page
CMS RVU26D · Effective 2026-10-01
G0181 Home health supervision Medicare reimbursement rates in Kentucky
Reports a physician’s qualifying, non-face-to-face oversight of a home health patient when at least 30 minutes of care-plan work occurs in a calendar month. Compare G0181 office and facility rates across CMS payment localities in Kentucky.
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 G0181 in Kentucky?
Kentucky 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
$104.21
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 health services
About G0181: Home health plan supervision
Reports a physician’s qualifying, non-face-to-face oversight of a home health patient when at least 30 minutes of care-plan work occurs in a calendar month.
G0181 covers a physician’s oversight of a patient receiving care from a home health agency when the patient is not present. The physician’s work may include developing or revising the plan of care, reviewing status reports and related test results, coordinating with other clinicians, and incorporating new information into the medical treatment plan. It is used for complex, multidisciplinary care rather than for a therapist’s or nurse’s direct home visit.
Report the service for a calendar month in which the physician provides at least 30 minutes of qualifying supervision. Documentation should identify the patient’s home health status, the oversight activities performed, and the total qualifying time for that month. CMS fee schedule valuation includes physician work, practice expense, and malpractice components. Home health therapy visits are reported for the services delivered by the treating discipline; G0181 represents the physician’s care-plan oversight.
Where the value comes from
- Work RVU1.73 · 53%
- Practice expense (office) RVU1.44 · 44%
- Malpractice RVU0.12 · 4%
458.3K
Medicare services in 2024 · #240 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.
G0181 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$41.15
G0179 identifies home health recertification; G0181 identifies physician oversight activities such as care-plan review and clinician coordination.
$103.02
G0182 is for physician supervision of a hospice patient. G0181 is for supervision of a patient under a home health agency’s care.
Compare G0181 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
Kentucky →
Office / nonfacility
$104.21
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 G0181 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
15,132
- Code
- G0181
- Physician work
- 1.73
- Practice expense
- 1.44
- Malpractice
- 0.12
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.73 | × 1.000 | 1.7300 |
| Practice expense | 1.44 | × 0.889 | 1.2802 |
| Malpractice | 0.12 | × 0.915 | 0.1098 |
| Total RVUs | 3.1200 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$104.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.73 | 1 |
| Practice expense | 1.44 | 0.889 |
| Malpractice | 0.12 | 0.915 |
(1.73 × 1 + 1.44 × 0.889 + 0.12 × 0.915) × $33.4009 = $104.21
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.
G0181 billing questions
Does the patient need to be present?
No. G0181 describes physician supervision performed while the patient is not present, such as reviewing reports and coordinating the care plan.
How much time must the physician document?
At least 30 minutes of qualifying supervision must occur within the calendar month. Document the qualifying activities and the total time for that month.
Can home health therapy time count toward G0181?
No. G0181 represents the physician’s oversight, not the therapist’s direct treatment time; the treating discipline’s visits are reported separately.
How is G0181 different from G0180?
G0181 reports ongoing physician supervision during a home health episode. G0180 is for the physician’s certification of the patient for home health care.
When should G0179 be used instead?
G0179 is the home health recertification service. G0181 is for qualifying physician oversight during a calendar month, not the recertification itself.
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.
15,129G0177,,Opps/php/iop; train & educ,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
15,130G0179,,Md recertification hha pt,A,,0.44,0.86,,0.86,NA,0.03,1.33,1.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,131G0180,,Md certification hha patient,A,,0.65,1.00,,1.00,NA,0.05,1.70,1.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,132G0181,,Home health care supervision,A,,1.73,1.44,,1.44,NA,0.12,3.29,3.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,133G0182,,Hospice care supervision,A,,1.73,1.40,,1.40,NA,0.12,3.25,3.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,134G0183,,Software meas of cardiac vol,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,135G0186,,"Dstry eye lesn,fdr vssl tech",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631