G0081 Care man h v external pt 20 mi
Also known as: care management follow-up visit, established patient home visit
Care management home visit for an established patient lasting approximately 20 minutes, including assessment, care plan review, and ongoing care coordination and management.
In Plain Language
Follow-up home visit for ongoing care; Regular care management home visit
Clinical Context
Follow-up home visit for established patients in care management program. Used for ongoing assessment, plan evaluation, medication review, and care coordination.
RVU Breakdown
| Work RVU | 1.00 |
| Total RVU | 1.00 |
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 1.00, this code ranks in the 55th percentile among G Codes codes — 1.0x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0081?
CPT G0081 (Care man h v external pt 20 mi) is a G Codes code. Care management home visit for an established patient lasting approximately 20 minutes, including assessment, care plan review, and ongoing care coordination and management.
Who uses CPT code G0081?
CPT G0081 is used by Care Management, Home Health, Primary Care. Follow-up home visit for established patients in care management program. Used for ongoing assessment, plan evaluation, medication review, and care coordination.
When is CPT G0081 used?
Follow-up home visit for established patients in care management program. Used for ongoing assessment, plan evaluation, medication review, and care coordination.
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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.