HCPCS code G0086: Care management2026 Medicare rate & RVUs in Nevada
Reports 30 minutes of care-management work focused on a patient's home care plan, rather than a timed care-management visit in the home.
Medicare pays $73.29 for G0086 in the office in Nevada (Nevada**). 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 G0086 covers
G0086 represents care-management work directed at a patient's home care plan for a 30-minute service interval. The work may include reviewing the patient's status, coordinating information about care, and managing the plan as needs change. A physician or other qualified health care professional overseeing the patient's care may perform this work in a practice or other setting; the code describes plan-focused management, not a home visit.
Choose G0086 when the documented service is management of the home care plan and supports the 30-minute code, rather than a timed new- or established-patient home visit. Record the time and the plan-related work performed, such as review, coordination, and resulting care-plan actions. The record should make clear how the work relates to the patient's home care plan. CMS lists no additional payment rules for this code in the supplied facts.
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.
G0086 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $73.29 | Unavailable |
How the G0086 rate is calculated
Each of G0086’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 · G0086
RVUs × geographic indexes × conversion factor
Work1.25
1.25 RVUs× 1.000 GPCI
Practice expense0.86
0.86 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
2.2100
Conversion factor
$33.4009
Medicare rate
$73.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0086
G0086 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 · G0086
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$73.82
Higher because the practice carries its own overhead.
G0086 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G0087Care management
- Both address management of a home care plan. G0086 is the 30-minute code; G0087 is the 60-minute code.
- G0077Home care management
- G0077 describes a 30-minute care-management home visit for a new patient. G0086 describes plan-management work rather than the home visit.
- G0082Care management
- G0082 describes a 30-minute care-management home visit for an established patient. G0086 is for management of the home care plan, not the visit.
G0086 billing questions
How does G0086 differ from a home-visit care-management code?
G0086 is for time spent managing a home care plan. G0077 and G0082 describe timed home visits for new and established patients, respectively.
When should the 30-minute code be selected?
Select G0086 when the documented service is plan-focused care management and supports its 30-minute interval. Do not select it just because care relates to a patient who receives services at home.
What documentation supports G0086?
Document the time spent, the patient's home care plan, and the specific review, coordination, or plan-management work performed.
How does G0086 differ from G0087?
Both describe management of a home care plan; G0086 is the 30-minute code, while G0087 is the 60-minute code.
Is G0086 reported for an in-home patient encounter?
The code represents plan-management work, not a timed home visit. Use the home-visit code family when the service is a qualifying care-management 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 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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