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CMS RVU26D · Effective 2026-10-01

G9987 Home visit Medicare reimbursement rates in Michigan

G9987 identifies an in-home visit associated with a BPCI Advanced episode, distinguishing it from remote evaluation and routine home-visit reporting. Compare G9987 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 G9987 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.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $2.85 per service.

Facility setting

$47.40–$50.25

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $2.85 per service.

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.

Find G9987 in your payment locality →

BPCI Advanced

About G9987: BPCI Advanced in-home visit

G9987 identifies an in-home visit associated with a BPCI Advanced episode, distinguishing it from remote evaluation and routine home-visit reporting.

G9987 identifies an in-home visit furnished in connection with the Bundled Payments for Care Improvement Advanced model. The encounter takes place at the beneficiary’s home rather than remotely or in a clinic. The code’s descriptor identifies the model and setting, but does not specify a particular diagnosis, clinical task, or type of clinician. It is therefore distinct from a general home-based evaluation and management service code.

Report G9987 when the documented encounter is an in-home visit associated with BPCI Advanced. The record should establish the date and location of the visit, who furnished it, the clinical purpose and services provided, and the connection to the beneficiary’s BPCI Advanced episode. CMS assigns work, practice-expense, and malpractice relative value units to the code; the applicable fee schedule determines payment. The supplied CMS facts do not establish that this code represents every home visit furnished during an episode.

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.

G9987 compared with similar codes

Office rates for Michigan, from the same CMS release.

G9983

Remote E/M

Established patient, 10 minutes

$49.40–$52.29

G9983 identifies a remote E/M service for an established patient at its stated time level; G9987 identifies an in-home visit associated with BPCI Advanced.

G9986

Remote E/M

Established patient, 40 minutes

$162.26–$170.94

G9986 identifies a longer remote E/M service for an established patient. It does not describe an in-person visit at the beneficiary’s home.

99350

Home visit

Established patient, high complexity

$188.45–$196.29

99350 is a home or residence E/M code for an established patient. G9987 identifies the BPCI Advanced in-home-visit context rather than an E/M level.

Compare G9987 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

Office and facility base rates · shared scale starting at $0

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G9987 billing questions

When should G9987 be selected instead of a home E/M code?

G9987 identifies an in-home visit associated with BPCI Advanced. A home E/M code describes a specific evaluation and management service; the documentation and applicable coding requirements determine which code represents the service furnished.

Does G9987 describe a remote visit?

No. Its descriptor identifies an in-home visit. Remote E/M codes describe encounters furnished remotely.

What should the visit documentation show?

Document the home setting, date, rendering clinician, clinical purpose, services furnished, and the connection to the BPCI Advanced episode.

Does the code establish separate payment for other services during the visit?

The code identifies the BPCI Advanced in-home visit. It does not, by itself, establish that other evaluation, management, or care coordination services are separately payable.

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.

RVUs for G9987PPRRVU2026_Oct_nonQPP.csv, line 16,309 (RVU26D)