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G0078 Care manag h vst new pt 45 m

G-Codes

Also known as: care management home visit 45 min, extended initial visit

Care management home visit for a new patient lasting approximately 45 minutes, including extensive assessment, complex care plan development, and multidisciplinary care coordination.

Clinical Context

Initial home visit for complex new patients with multiple chronic conditions, psychosocial issues, or significant care coordination needs. Includes thorough assessment and detailed care planning.

RVU Breakdown

Work RVU2.53
Practice Expense RVU0.95
Malpractice RVU0.12
Total RVU3.60

Est. Medicare Payment

$120.24

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Care ManagementHome HealthComplex Care

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.