G9490 Cmmi mod home visit
Also known as: home visit, CMMI visit
Centers for Medicare & Medicaid Services (CMS) incentive program home visit provided as part of chronic care management or transitional care services.
In Plain Language
doctor visit at home
Clinical Context
Used to document home-based primary care or transitional care visits in CMS quality improvement initiatives and care coordination programs.
RVU Breakdown
| Work RVU | 0.18 |
| Total RVU | 0.18 |
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 0.18, this code ranks in the 13th percentile among G Codes codes — 5.4x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G9490?
CPT G9490 (Cmmi mod home visit) is a G Codes code. Centers for Medicare & Medicaid Services (CMS) incentive program home visit provided as part of chronic care management or transitional care services.
Who uses CPT code G9490?
CPT G9490 is used by Primary Care, Care Management, Geriatrics. Used to document home-based primary care or transitional care visits in CMS quality improvement initiatives and care coordination programs.
When is CPT G9490 used?
Used to document home-based primary care or transitional care visits in CMS quality improvement initiatives and care coordination programs.
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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.