G0078 Care manag h vst new pt 45 m
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.
In Plain Language
Extended home visit for complex patients; Detailed home health assessment
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 RVU | 2.53 |
| Total RVU | 2.53 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 2.53, this code ranks in the 84th percentile among G Codes codes — 2.6x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0078?
CPT G0078 (Care manag h vst new pt 45 m) is a G Codes code. Care management home visit for a new patient lasting approximately 45 minutes, including extensive assessment, complex care plan development, and multidisciplinary care coordination.
Who uses CPT code G0078?
CPT G0078 is used by Care Management, Home Health, Complex Care. 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.
When is CPT G0078 used?
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.
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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.