$70.00
G0086 is the 30-minute home care plan management service; G0087 is the 60-minute service.
On this page
CMS RVU26D · Effective 2026-10-01
G0087 Care management Medicare reimbursement rates in Oklahoma
Reports 60 minutes of clinician care management focused on a patient’s home care plan, rather than a time-based home visit. Compare G0087 office and facility rates across CMS payment localities in Oklahoma.
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 G0087 in Oklahoma?
Oklahoma 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
$98.06
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Care management
About G0087: Home care plan management, 60 minutes
Reports 60 minutes of clinician care management focused on a patient’s home care plan, rather than a time-based home visit.
G0087 represents clinician work focused on managing a patient’s home care plan. A physician or other qualified health care professional may review the plan, coordinate care with the home health team, address changes in the patient’s needs, and document follow-up related to the plan. The service is distinct from a home visit: its focus is care-plan management, not an in-person evaluation at the patient’s residence.
Report this code when the documented care-management work supports the 60-minute service interval. The record should identify the plan being managed, the coordination or review performed, the time spent, and the connection between the work and the patient’s home-based care. G0086 describes the corresponding 30-minute service. Under the Medicare Physician Fee Schedule, CMS assigns work, practice expense, and malpractice relative value units to G0087; the payment amount is determined through the applicable fee schedule data.
Where the value comes from
- Work RVU1.80 · 58%
- Practice expense (office) RVU1.15 · 37%
- Malpractice RVU0.14 · 5%
15
Medicare services in 2024 · #6087 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.
G0087 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$157.61
G0079 describes a 60-minute home visit for a new patient. G0087 describes management work centered on the home care plan.
$173.65
G0084 is a 60-minute home visit for an established patient; G0087 is care-plan management rather than a home evaluation.
Compare G0087 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
Oklahoma →
Office / nonfacility
$98.06
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 G0087 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
15,079
- Code
- G0087
- Physician work
- 1.80
- Practice expense
- 1.15
- Malpractice
- 0.14
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.80 | × 1.000 | 1.8000 |
| Practice expense | 1.15 | × 0.893 | 1.0270 |
| Malpractice | 0.14 | × 0.777 | 0.1088 |
| Total RVUs | 2.9357 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$98.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.8 | 1 |
| Practice expense | 1.15 | 0.893 |
| Malpractice | 0.14 | 0.777 |
(1.8 × 1 + 1.15 × 0.893 + 0.14 × 0.777) × $33.4009 = $98.06
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.
G0087 billing questions
How is G0087 different from G0086?
Both describe management focused on a home care plan. G0087 is the 60-minute service; G0086 is the 30-minute service.
Can G0087 be reported for a home visit?
G0087 is for care-plan management, not an in-person home visit. Use a home-visit code when the service is a patient evaluation at home.
What documentation supports G0087?
Document the home care plan, the management or coordination work performed, the time spent, and how that work related to the patient’s care.
What time should the record support?
The code identifies a 60-minute service. The record should support the time and care-management work reported under G0087.
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.
15,076G0084,,Care man h v ext pt 60 m,A,,3.28,1.94,,1.94,NA,0.24,5.46,5.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,077G0085,,Care man h v ext 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
15,078G0086,,Care man home care plan 30 m,A,,1.25,0.86,,0.86,NA,0.10,2.21,2.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,079G0087,,Care man home care plan 60 m,A,,1.80,1.15,,1.15,NA,0.14,3.09,3.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,080G0088,,Adm iv drug 1st home visit,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
15,081G0089,,Adm subq drug 1st home visit,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
15,082G0090,,Adm iv chemo 1st home visit,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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193