$133.10–$151.49
99214 reports an established-patient office E/M service based on the visit’s documented requirements. G0372 represents the distinct PMD assessment, order, and supporting documentation work.
On this page
CMS RVU26D · Effective 2026-10-01
G0372 PMD physician service Medicare reimbursement rates in Virginia
Reports a physician’s face-to-face power mobility device assessment and related order and documentation work for a patient who needs powered mobility in the home. Compare G0372 office and facility rates across CMS payment localities in Virginia.
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 G0372 in Virginia?
Virginia 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
$9.20–$10.29
2 of 2 localities have a supported rate.
Facility setting
$7.56–$8.32
2 of 2 localities have a 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.
Durable medical equipment
About G0372: Power mobility device physician service
Reports a physician’s face-to-face power mobility device assessment and related order and documentation work for a patient who needs powered mobility in the home.
G0372 represents physician work for evaluating a patient’s need for a power mobility device intended for use in the home. The service includes a face-to-face assessment, completing the required order before delivery, and sending supporting records to the equipment supplier. It commonly arises when a patient with mobility limitations from a neurologic, orthopedic, or other condition is being considered for a powered wheelchair or scooter. The physician documents the patient’s mobility needs and the clinical basis for the requested device.
Report G0372 for the PMD-specific assessment and documentation work, not for the wheelchair or scooter itself. The record should support the face-to-face evaluation, the order, and the information provided to the supplier. A separately furnished office E/M service may be reported using the code that reflects that visit’s documented work. CMS values G0372 under the Physician Fee Schedule with work and practice-expense inputs; the practice-expense inputs differ between office and facility settings. The equipment supplier reports the device on its own claim.
Where the value comes from
- Work RVU0.17 · 61%
- Practice expense (office) RVU0.10 · 36%
- Malpractice RVU0.01 · 4%
3.5K
Medicare services in 2024 · #2069 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.
G0372 compared with similar codes
Office rates for Virginia, from the same CMS release.
Compare G0372 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
Dc + Md/Va Suburbs →
Office / nonfacility
$10.29
Facility
$8.32
Virginia →
Office / nonfacility
$9.20
Facility
$7.56
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G0372 billing questions
Is G0372 an office E/M code?
No. It represents the physician’s PMD-specific assessment and documentation work; an office E/M code represents a separately furnished evaluation and management service.
Can G0372 be reported with an E/M service?
A physician may report a separately furnished E/M service for the same encounter when its documentation supports that service. The E/M level should reflect the visit, not the device paperwork alone.
What documentation supports G0372?
Document the face-to-face PMD assessment, the clinical need for powered mobility in the home, the completed order, and the supporting records sent to the supplier.
Does G0372 cover the wheelchair or scooter?
No. G0372 describes physician assessment and documentation work. The equipment supplier reports the power mobility device separately.
Should G0372 be reported for follow-up paperwork alone?
The service includes a face-to-face PMD assessment as well as the order and supporting documentation. Documentation should show that assessment, not paperwork submission alone.
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.
15,208G0341,,Percutaneous islet celltrans,A,,6.81,39.52,,0.80,,0.89,47.22,8.50,0,000,0.00,0.00,0.00,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,209G0342,,Laparoscopy islet cell trans,A,,11.62,6.79,NA,6.79,,3.10,21.51,21.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,210G0343,,Laparotomy islet cell transp,A,,19.35,10.38,NA,10.38,,5.15,34.88,34.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,211G0372,,Md service required for pmd,A,,0.17,0.10,,0.05,,0.01,0.28,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,212G0378,,Hospital observation per hr,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
15,213G0379,,Direct refer hospital observ,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
15,214G0380,,Lev 1 hosp type b ed 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