G0085 Care man h v external pt 75 m
Also known as: care management follow-up 75 min, intensive complex reassessment
Care management home visit for an established patient lasting approximately 75 minutes, including exhaustive reassessment, intensive care plan development, and comprehensive coordination activities.
Clinical Context
Follow-up home visit for established patients with severe complexity, multiple acute issues, or major care plan changes. Requires substantial time for reassessment and care coordination.
RVU Breakdown
| Work RVU | 4.09 |
| Practice Expense RVU | 2.16 |
| Malpractice RVU | 0.25 |
| Total RVU | 6.50 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.