$47.01
99347 is a standard home or residence E/M code. G9187 identifies a home visit connected to a BPCI episode rather than an E/M level.
On this page
CMS RVU26D · Effective 2026-10-01
G9187 Home visit Medicare reimbursement rates in Rhode Island
G9187 identifies a home visit furnished in connection with a Bundled Payments for Care Improvement episode, rather than a standard home-residence E/M level. Compare G9187 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 G9187 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
$52.56
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.
Bundled care
About G9187: BPCI home visit service
G9187 identifies a home visit furnished in connection with a Bundled Payments for Care Improvement episode, rather than a standard home-residence E/M level.
G9187 identifies a home visit connected to a Bundled Payments for Care Improvement (BPCI) episode. A physician or other qualified health professional may furnish the visit in the beneficiary’s home as part of care during that episode, including home-based recovery or follow-up. The code is specific to the BPCI context; it is not an E/M level selected by the visit’s complexity or duration.
Report G9187 when the documented service is a BPCI-related home visit. The record should support the home setting, the clinician and date of service, the clinical purpose of the visit, and its connection to the BPCI episode. CMS’s physician fee schedule assigns work, practice-expense, and malpractice relative value units to the code. A standard home or residence E/M code describes a different reporting approach; do not use it to represent the BPCI-specific service merely because the encounter occurred at home.
Where the value comes from
- Work RVU0.18 · 12%
- Practice expense (office) RVU1.32 · 86%
- Malpractice RVU0.03 · 2%
540
Medicare services in 2024 · #3488 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.
G9187 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$134.74
99349 is selected under standard home or residence E/M criteria. Use G9187 for the BPCI-specific home-visit service, not as a substitute based only on visit complexity.
Compare G9187 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
$52.56
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 G9187 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
15,859
- Code
- G9187
- Physician work
- 0.18
- Practice expense
- 1.32
- 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 | 0.18 | × 1.019 | 0.1834 |
| Practice expense | 1.32 | × 1.033 | 1.3636 |
| Malpractice | 0.03 | × 0.892 | 0.0268 |
| Total RVUs | 1.5737 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$52.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1.019 |
| Practice expense | 1.32 | 1.033 |
| Malpractice | 0.03 | 0.892 |
(0.18 × 1.019 + 1.32 × 1.033 + 0.03 × 0.892) × $33.4009 = $52.56
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.
G9187 billing questions
Is G9187 a standard home or residence E/M code?
No. It identifies a home visit connected to a BPCI episode, rather than an E/M level based on patient status, medical decision making, or time.
How is G9187 distinguished from codes such as 99347 or 99349?
G9187 is BPCI-specific. Codes 99347 and 99349 are standard home or residence E/M codes selected under their own reporting criteria.
What documentation supports G9187?
Document the home setting, the service performed, the clinician and date, and the relationship of the visit to the BPCI episode.
Should G9187 be selected by time or E/M complexity?
No. The distinguishing factor is the BPCI connection, not an E/M time or complexity level.
Can G9187 and a home E/M code represent the same visit?
Do not report two codes as though they represent separate services when the record describes only one visit. A separately documented service requires its own coding support and applicable program guidance.
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.
15,856G9153,,Mapcp demo physician,R,,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
15,857G9156,,Evaluation for wheelchair,R,,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
15,858G9157,,Transesoph doppl cardiac mon,A,,2.15,0.32,NA,0.32,,0.18,2.65,2.65,2,XXX,0.00,0.00,0.00,9,9,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,859G9187,,Bpci home visit,A,,0.18,1.32,,1.32,NA,0.03,1.53,1.53,0,XXX,0.00,0.00,0.00,0,0,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,860G9188,,Beta not given no reason,M,,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
15,861G9189,,Beta pres or already taking,M,,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
15,862G9190,,Medical reason for no beta,M,,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
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