G0086 Care man home care plan 30 m
Also known as: home care plan development, care plan establishment
Care management home care plan development and oversight, approximately 30 minutes, including establishment of comprehensive care plan with patient and family involvement.
In Plain Language
Creating a care plan at home; Home health plan setup
Clinical Context
Used for development and initiation of formal home care plans. Includes collaboration with patient, family, and interdisciplinary team to establish goals and care strategies.
RVU Breakdown
| Work RVU | 1.25 |
| Total RVU | 1.25 |
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 1.25, this code ranks in the 60th percentile among G Codes codes — 1.3x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0086?
CPT G0086 (Care man home care plan 30 m) is a G Codes code. Care management home care plan development and oversight, approximately 30 minutes, including establishment of comprehensive care plan with patient and family involvement.
Who uses CPT code G0086?
CPT G0086 is used by Care Management, Home Health, Primary Care. Used for development and initiation of formal home care plans. Includes collaboration with patient, family, and interdisciplinary team to establish goals and care strategies.
When is CPT G0086 used?
Used for development and initiation of formal home care plans. Includes collaboration with patient, family, and interdisciplinary team to establish goals and care strategies.
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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.