G0079 Care manag h vst new pt 60 m
Also known as: care management home visit 60 min, intensive initial visit
Care management home visit for a new patient lasting approximately 60 minutes, including comprehensive complex assessment, intensive care plan development, and extensive care coordination.
In Plain Language
Lengthy home visit for very complex patients; Intensive home health assessment
Clinical Context
Initial home visit for highly complex new patients with severe chronic disease burden, extensive social determinants, or multiple system involvement. Requires substantial time for assessment and planning.
RVU Breakdown
| Work RVU | 3.38 |
| Total RVU | 3.38 |
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 3.38, this code ranks in the 89th percentile among G Codes codes — 3.5x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0079?
CPT G0079 (Care manag h vst new pt 60 m) is a G Codes code. Care management home visit for a new patient lasting approximately 60 minutes, including comprehensive complex assessment, intensive care plan development, and extensive care coordination.
Who uses CPT code G0079?
CPT G0079 is used by Care Management, Home Health, Complex Care. Initial home visit for highly complex new patients with severe chronic disease burden, extensive social determinants, or multiple system involvement. Requires substantial time for assessment and planning.
When is CPT G0079 used?
Initial home visit for highly complex new patients with severe chronic disease burden, extensive social determinants, or multiple system involvement. Requires substantial time for assessment and 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.