HCPCS G9987: Home visitMedicare rate & RVUs in Oregon
G9987 identifies an in-home visit associated with a BPCI Advanced episode, distinguishing it from remote evaluation and routine home-visit reporting.
Medicare pays $50.63–$55.84 for G9987 in the office in Oregon, from Rest Of Oregon to Portland. 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 8 sections
What G9987 covers
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.
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.
Where G9987 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $55.84 | $55.84 |
| Rest Of Oregon | $50.63 | $50.63 |
How the G9987 rate is calculated
Each of G9987’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 · G9987
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.18Practice expense 1.32Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G9987
G9987 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 · G9987
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$51.10
The facility rate would be $51.10 (−$0.00). In a facility, the facility bills its own costs separately.
G9987 compared with similar codes
Compare codes
G9987 vs G9983 vs G9986 vs 99350: national Medicare rates
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How to choose
- G9983Remote E/M
- 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.
- G9986Remote E/M
- 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.
- 99350Home visit
- 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.
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 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
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