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See a sample rate comparisonHCPCS G0180 Fee Schedule
Medicare rates as of October 2026
HCPCS G0180 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $56.78 national non-facility rate (2026) · View Medicare rates for G0180 |
| Medicaid Fee Schedule | $48.02 median of the 8 states in the free preview · View Medicaid rates for G0180 |
National average reimbursement for HCPCS G0180 by major payers:
$70.24
BCBS / Anthem
$70.57
UnitedHealthcare
$63.95
Aetna
$58.49
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0180.
HCPCS G0180
5 of 25 sample ratesHigher to lower in this preview
Silvia Baxter
Florida Hospital Physician Group Inc
$143.44Published rateDaxa Patel
South Broward Hospital District
$83.19Published rateKathryn Metcalf
Musculoskeletal Institute Inc. Florida Orthopaedic Institute
$53.33Published rateShanika Hill
Jessie Trice Community Health System Inc
$36.22Published rateTanner Harrah
Valley Orthopedic Associates, Inc.
$31.52Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0180 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0180. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0179-HCPCS | Low | Physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
| G0180-HCPCS | Low | Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
| G0181-HCPCS | Low | Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0180 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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