$18.30–$19.41
G9481 is labeled for remote E/M for a new patient with a stated time label. G9490 identifies a CMMI model home visit.
On this page
CMS RVU26D · Effective 2026-10-01
G9490 Model home visit Medicare reimbursement rates in Michigan
A CMMI model-specific service for a clinician's home visit, reported when the encounter meets the participating model's documentation and billing requirements. Compare G9490 office and facility rates across CMS payment localities in Michigan.
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 G9490 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$47.40–$50.25
2 of 2 localities have a supported rate.
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.
CMMI model services
About G9490: CMMI model-specific home visit
A CMMI model-specific service for a clinician's home visit, reported when the encounter meets the participating model's documentation and billing requirements.
G9490 identifies a home visit furnished under a Center for Medicare & Medicaid Innovation (CMMI) model. The CMS short descriptor does not identify a diagnosis, specialty, or visit complexity. The code is tied to the model-designated encounter at the patient's home, rather than serving as a general label for every clinician visit performed there.
Support the claim with the visit note and records identifying the home setting, rendering professional, and model pathway. The CMS PFS file assigns 0.18 work RVUs, 1.32 practice-expense RVUs in both office and facility settings, and 0.03 malpractice RVUs. Do not infer an E/M level or time threshold from this short descriptor; document the service as required by the participating model. The code's 2024 Medicare volume was zero in both office and facility settings.
Where the value comes from
- Work RVU0.18 · 12%
- Practice expense (office) RVU1.32 · 86%
- Malpractice RVU0.03 · 2%
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.
G9490 compared with similar codes
Office rates for Michigan, from the same CMS release.
$18.30–$19.41
G9486 is labeled for remote E/M for an established patient. G9490 is tied to a home visit under a CMMI model.
$129.00–$134.34
99349 describes established-patient home or residence E/M. G9490 identifies a model-designated home visit, not an ordinary E/M level.
Compare G9490 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$50.25
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$47.40
Facility
Unavailable
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G9490 billing questions
How is G9490 different from the remote E/M codes G9481 and G9486?
G9490 identifies a CMMI model home visit. G9481 and G9486 identify remote E/M services, with different patient-status and time labels.
Can G9490 replace a regular home or residence E/M code?
Use G9490 for the model-designated home visit. A standard home or residence E/M code describes a different service context and should not be substituted solely because the encounter occurred at home.
What documentation should support G9490?
The record should identify the home setting, date, rendering professional, work performed, and the CMMI model pathway associated with the visit.
Does the descriptor establish a time threshold or E/M level?
No time threshold or E/M level is stated in the short descriptor. Document the model-defined encounter rather than deriving a level from the label.
Can G9490 be reported with another E/M service on the same date?
The descriptor does not establish that a separate E/M service is supported. The documentation should distinguish any separately reported work from the model home visit.
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.
15,997G9487,,Remote e/m est. pt 15mins,A,,0.97,0.00,,0.00,,0.09,1.06,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,998G9488,,Remote e/m est. pt 25mins,A,,1.50,0.00,,0.00,,0.14,1.64,1.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,999G9489,,Remote e/m est. pt 40mins,A,,2.11,0.00,,0.00,,0.21,2.32,2.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,000G9490,,Cmmi mod home visit,A,,0.18,1.32,,1.32,NA,0.03,1.53,1.53,0,XXX,0.00,0.00,0.00,0,0,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,001G9497,,Rec inst no smoke day surg,M,,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
16,002G9498,,Abx reg prescribed,M,,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
16,003G9500,,Rad expos ind/exp tm doc,M,,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