G0438 Ppps, initial visit
Also known as: physician home visit initial, PPPS initial, home-based primary care intake
Physician home visits for physician supervision of home-based primary and preventive services initial comprehensive evaluation.
In Plain Language
doctor house visit check-up
Clinical Context
Comprehensive initial evaluation in home setting for homebound patients establishing primary care relationship and baseline assessment.
RVU Breakdown
| Work RVU | 2.60 |
| Total RVU | 2.60 |
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 2.60, this code ranks in the 85th percentile among G Codes codes — 2.7x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0438?
CPT G0438 (Ppps, initial visit) is a G Codes code. Physician home visits for physician supervision of home-based primary and preventive services initial comprehensive evaluation.
Who uses CPT code G0438?
CPT G0438 is used by Primary Care, Home Health, Geriatric Medicine. Comprehensive initial evaluation in home setting for homebound patients establishing primary care relationship and baseline assessment.
When is CPT G0438 used?
Comprehensive initial evaluation in home setting for homebound patients establishing primary care relationship and baseline assessment.
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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.