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G2004 Post-d/c h vst new pt 60 m

G Codes

Also known as: Post-discharge home visit, Initial home health visit

HCPCS code for post-discharge home visit for new patient lasting up to 60 minutes. Comprehensive visit for complex care management.

In Plain Language

One-hour home visit after hospital; Detailed home follow-up

Clinical Context

Used for initial post-discharge visits with longest time allocation. Appropriate for complex new patients with multiple chronic conditions or new treatment regimens.

RVU Breakdown

Work RVU3.38
Total RVU3.38

Est. Medicare Payment

$112.89

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

Home HealthTransitional CareCare Coordination

Frequently Asked Questions

What is CPT code G2004?

CPT G2004 (Post-d/c h vst new pt 60 m) is a G Codes code. HCPCS code for post-discharge home visit for new patient lasting up to 60 minutes. Comprehensive visit for complex care management.

Who uses CPT code G2004?

CPT G2004 is used by Home Health, Transitional Care, Care Coordination. Used for initial post-discharge visits with longest time allocation. Appropriate for complex new patients with multiple chronic conditions or new treatment regimens.

When is CPT G2004 used?

Used for initial post-discharge visits with longest time allocation. Appropriate for complex new patients with multiple chronic conditions or new treatment regimens.

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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.