$73.88
Both describe new-patient care-management home visits; G0077 is the 30-minute level, while G0076 is the 20-minute level.
On this page
CMS RVU26D · Effective 2026-10-01
G0076 Home care management Medicare reimbursement rates in Wyoming
Reports a 20-minute care-management home visit for a new patient, distinguishing it from longer new-patient levels and established-patient home visits. Compare G0076 office and facility rates across CMS payment localities in Wyoming.
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 G0076 in Wyoming?
Wyoming 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
$49.09
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Care management
About G0076: New-patient care-management home visit
Reports a 20-minute care-management home visit for a new patient, distinguishing it from longer new-patient levels and established-patient home visits.
G0076 identifies a care-management service delivered during a home visit for a new patient. The code distinguishes this encounter by both the home setting and the 20-minute time level. It does not identify a particular diagnosis, specialty, or care-management task, so the documentation should describe the service performed rather than relying on the code label alone.
Select G0076 when the patient meets the applicable new-patient classification and the documented home-visit service supports this time level. Record the home setting, new-patient status, and time associated with the care-management work. The CMS physician fee schedule assigns work, practice-expense, and malpractice relative values to the service; the fee schedule’s payment display provides the applicable rate separately.
Where the value comes from
- Work RVU1.01 · 68%
- Practice expense (office) RVU0.43 · 29%
- Malpractice RVU0.04 · 3%
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.
G0076 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$49.09
G0081 is the 20-minute home-visit level for an established patient. G0076 is designated for a new patient.
$72.95
G0086 identifies a care-management home-care-plan service at a 30-minute level, rather than the 20-minute new-patient home-visit level represented by G0076.
Compare G0076 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
Wyoming** →
Office / nonfacility
$49.09
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 G0076 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
15,068
- Code
- G0076
- Physician work
- 1.01
- Practice expense
- 0.43
- Malpractice
- 0.04
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.01 | × 1.000 | 1.0100 |
| Practice expense | 0.43 | × 1.000 | 0.4300 |
| Malpractice | 0.04 | × 0.740 | 0.0296 |
| Total RVUs | 1.4696 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$49.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.01 | 1 |
| Practice expense | 0.43 | 1 |
| Malpractice | 0.04 | 0.74 |
(1.01 × 1 + 0.43 × 1 + 0.04 × 0.74) × $33.4009 = $49.09
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.
G0076 billing questions
When should G0076 be chosen instead of G0077?
Both are new-patient care-management home-visit levels. G0076 is the 20-minute level; G0077 is the 30-minute level.
Can G0076 be used for an established patient?
No. G0076 is identified for a new patient; the 20-minute established-patient home-visit level is G0081.
What should the note support?
Document the home setting, the patient's new-patient classification, the care-management work performed, and the time supporting the 20-minute level.
Does 20 minutes mean 20 units?
No. The 20-minute figure identifies the service-time level, not a number of units. Report the service at the level supported by the documented time.
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.
15,065G0068,,Adm iv infusion drug in home,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
15,066G0069,,Adm sq infusion drug in home,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
15,067G0070,,Adm of chemo drug in home,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
15,068G0076,,Care manag h vst new pt 20 m,A,,1.01,0.43,,0.43,NA,0.04,1.48,1.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,069G0077,,Care manag h vst new pt 30 m,A,,1.52,0.64,,0.64,NA,0.07,2.23,2.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,070G0078,,Care manag h vst new pt 45 m,A,,2.53,0.95,,0.95,NA,0.12,3.60,3.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,071G0079,,Care manag h vst new pt 60 m,A,,3.38,1.36,,1.36,NA,0.16,4.90,4.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,