$58.12
G0180 is for initial certification of the home health plan; G0179 is for its recertification.
On this page
CMS RVU26D · Effective 2026-10-01
G0179 Home health Medicare reimbursement rates in Rhode Island
Reports a physician’s recertification of a Medicare home health plan when the patient continues to meet coverage requirements for home-based skilled care. Compare G0179 office and facility rates across CMS payment localities in Rhode Island.
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 G0179 in Rhode Island?
Rhode Island 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
$45.54
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Home health certification
About G0179: Home health plan recertification
Reports a physician’s recertification of a Medicare home health plan when the patient continues to meet coverage requirements for home-based skilled care.
G0179 represents a physician’s review and recertification of an existing Medicare home health plan of care. The physician assesses whether the patient continues to qualify for home health and whether the plan remains appropriate, based on the patient’s current condition and agency information. The patient need not be present. Recertification may support continued skilled nursing or therapy at home; it does not represent the therapist’s or nurse’s visit. The home health agency commonly supplies the updated plan and clinical information for the physician’s review.
Report G0179 for recertification, not the initial home health certification. Documentation should support the physician’s review, the patient’s continuing need for covered skilled services, and the signed, dated recertification and plan. This is not a time-based service reported in 15-minute increments. The CMS fee schedule assigns 0.44 work RVUs, 0.86 practice-expense RVUs in both office and facility settings, and 0.03 malpractice RVUs.
Where the value comes from
- Work RVU0.44 · 33%
- Practice expense (office) RVU0.86 · 65%
- Malpractice RVU0.03 · 2%
584.6K
Medicare services in 2024 · #208 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.
G0179 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$112.14
G0181 represents physician care-plan oversight during home health services; G0179 represents recertification of the plan itself.
G0151
No office rateHhcp-serv of pt,ea 15 min
G0151 reports home health physical therapy services. G0179 reports the physician’s recertification, not therapy furnished to the patient.
Compare G0179 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
Rhode Island →
Office / nonfacility
$45.54
Facility
Unavailable
Need rates for a whole code list?
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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 G0179 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
15,130
- Code
- G0179
- Physician work
- 0.44
- Practice expense
- 0.86
- Malpractice
- 0.03
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.019 | 0.4484 |
| Practice expense | 0.86 | × 1.033 | 0.8884 |
| Malpractice | 0.03 | × 0.892 | 0.0268 |
| Total RVUs | 1.3635 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$45.54
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1.019 |
| Practice expense | 0.86 | 1.033 |
| Malpractice | 0.03 | 0.892 |
(0.44 × 1.019 + 0.86 × 1.033 + 0.03 × 0.892) × $33.4009 = $45.54
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.
G0179 billing questions
When should G0179 be used instead of G0180?
Use G0179 for recertification of an existing home health plan. G0180 represents the initial certification.
Does the patient need to attend the recertification?
No. G0179 represents the physician’s review and recertification; the patient need not be present.
What documentation supports G0179?
Keep the physician’s review, the signed and dated recertification and plan, and clinical support for the patient’s continuing need for covered home health services.
Is G0179 billed in timed units?
No. It represents recertification work, not a service reported in 15-minute increments.
Does G0179 report the home health therapy visit?
No. It reports the physician’s recertification. The home health agency reports the therapy service under the applicable therapy code.
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.
15,127G0175,,"Opps service,sched team conf",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
15,128G0176,,Opps/php/iop; activity thrpy,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
15,129G0177,,Opps/php/iop; train & educ,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
15,130G0179,,Md recertification hha pt,A,,0.44,0.86,,0.86,NA,0.03,1.33,1.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,131G0180,,Md certification hha patient,A,,0.65,1.00,,1.00,NA,0.05,1.70,1.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,132G0181,,Home health care supervision,A,,1.73,1.44,,1.44,NA,0.12,3.29,3.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,133G0182,,Hospice care supervision,A,,1.73,1.40,,1.40,NA,0.12,3.25,3.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537