$49.29
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.
On this page
CMS RVU26D · Effective 2026-10-01
G9987 Home visit Medicare reimbursement rates in Wisconsin
G9987 identifies an in-home visit associated with a BPCI Advanced episode, distinguishing it from remote evaluation and routine home-visit reporting. Compare G9987 office and facility rates across CMS payment localities in Wisconsin.
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 G9987 in Wisconsin?
Wisconsin 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
$48.56
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$48.56
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
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.
BPCI Advanced
About G9987: BPCI Advanced in-home visit
G9987 identifies an in-home visit associated with a BPCI Advanced episode, distinguishing it from remote evaluation and routine home-visit reporting.
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.
Where the value comes from
- Work RVU0.18 · 12%
- Practice expense (office) RVU1.32 · 86%
- Malpractice RVU0.03 · 2%
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.
G9987 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$160.63
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.
$184.79
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.
Compare G9987 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
Wisconsin →
Office / nonfacility
$48.56
Facility
$48.56
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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 G9987 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
16,309
- Code
- G9987
- Physician work
- 0.18
- Practice expense
- 1.32
- Malpractice
- 0.03
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 1.32 | × 0.958 | 1.2646 |
| Malpractice | 0.03 | × 0.308 | 0.0092 |
| Total RVUs | 1.4538 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$48.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 1.32 | 0.958 |
| Malpractice | 0.03 | 0.308 |
(0.18 × 1 + 1.32 × 0.958 + 0.03 × 0.308) × $33.4009 = $48.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 1.32 | 0.958 |
| Malpractice | 0.03 | 0.308 |
(0.18 × 1 + 1.32 × 0.958 + 0.03 × 0.308) × $33.4009 = $48.56
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.
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 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.
16,306G9984,,Remote e/m est. pt 15mins,A,,0.97,1.46,,0.33,,0.09,2.52,1.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,307G9985,,Remote e/m est. pt 25mins,A,,1.50,2.00,,0.47,,0.14,3.64,2.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,308G9986,,Remote e/m est. pt 40mins,A,,2.11,2.75,,0.75,,0.21,5.07,3.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,309G9987,,Bpci advanced in home visit,A,,0.18,1.32,,1.32,,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
16,310G9988,,Pall serv during meas,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
16,311G9992,,Pall serv during meas,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
16,312G9993,,Pall serv during meas,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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,