$172.88–$178.41
G0079 is the 60-minute new-patient home care-management tier; G0080 is the 75-minute tier.
On this page
CMS RVU26D · Effective 2026-10-01
G0080 Home care management Medicare reimbursement rates in New Jersey
Reports a 75-minute, new-patient care-management visit delivered at home, with time and coordination work documented for the encounter. Compare G0080 office and facility rates across CMS payment localities in New Jersey.
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 G0080 in New Jersey?
New Jersey 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
$230.02–$237.82
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.
Care management
About G0080: New-patient home care management visit
Reports a 75-minute, new-patient care-management visit delivered at home, with time and coordination work documented for the encounter.
G0080 represents a new-patient care-management visit delivered in the patient’s home, at the 75-minute level. The encounter focuses on understanding care needs and coordinating next steps across the patient’s clinicians and home-based services. A physician or other practitioner furnishing the care-management service may report it for work performed in the home setting.
Choose G0080 when the documented service belongs to the 75-minute new-patient tier; G0076 through G0079 identify shorter new-patient tiers, while G0081 through G0085 are for established patients. The record should establish new-patient status, that the service occurred at home, time attributable to the encounter, care issues addressed, coordination performed, and the follow-up plan. CMS assigns physician work, practice-expense, and malpractice relative value units to the service in the physician fee schedule.
Where the value comes from
- Work RVU4.09 · 63%
- Practice expense (office) RVU2.16 · 33%
- Malpractice RVU0.25 · 4%
11
Medicare services in 2024 · #6172 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.
G0080 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$230.02–$237.82
Both identify the 75-minute home care-management level, but G0085 is for established patients and G0080 is for new patients.
$78.45–$81.27
G0086 describes a timed home care-plan service, rather than the new-patient 75-minute home visit represented by G0080.
$222.72–$230.37
99345 is a home or residence E/M service selected under E/M criteria. G0080 identifies a timed care-management visit.
Compare G0080 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
Northern Nj →
Office / nonfacility
$237.82
Facility
Unavailable
Rest Of New Jersey →
Office / nonfacility
$230.02
Facility
Unavailable
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G0080 billing questions
How does G0080 differ from G0079?
Both are new-patient home care-management tiers. G0079 represents the 60-minute level; G0080 is the 75-minute level.
Can G0080 be used for an established patient?
No. G0080 is the new-patient tier; G0085 is the 75-minute home care-management code for an established patient.
What documentation supports G0080?
Document the patient’s new-patient status, home setting, time for the encounter, care needs addressed, coordination performed, and follow-up plan.
Is G0080 the same as a home E/M visit?
No. G0080 identifies timed home care management. A home or residence E/M code, such as 99345, describes an E/M service selected under its own criteria.
How is G0080 different from G0086?
G0080 is the new-patient, 75-minute home care-management visit tier. G0086 describes a timed home care-plan service.
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.
15,069G0077,,Care manag 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
15,070G0078,,Care manag 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
15,071G0079,,Care manag 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
15,072G0080,,Care manag 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
15,073G0081,,Care man h v ext pt 20 mi,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
15,074G0082,,Care man h v 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
15,075G0083,,Care man h v 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