# HCPCS G0180: Physician certification for Medicare-covered home health services

Medicare HCPCS G0180 pays $56.78 in a non-facility setting and $56.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $51.26 in Arkansas to $69.06 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/G0180-hcpcs-fee-schedule
Section: Temporary, Administrative and Miscellaneous

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $56.78 |
| National facility | $56.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $69.06 | $69.06 |
| District of Columbia | $64.09 | $64.09 |
| California | $62.92 | $62.92 |
| New York | $62.27 | $62.27 |
| New Jersey | $62.25 | $62.25 |
| Washington | $61.79 | $61.79 |
| Massachusetts | $61.27 | $61.27 |
| Hawaii | $60.65 | $60.65 |
| Connecticut | $60.14 | $60.14 |
| Colorado | $58.81 | $58.81 |
| Maryland | $58.61 | $58.61 |
| Florida | $58.47 | $58.47 |
| Oregon | $58.28 | $58.28 |
| Rhode Island | $58.12 | $58.12 |
| New Hampshire | $57.94 | $57.94 |
| Illinois | $57.25 | $57.25 |
| Puerto Rico | $57.12 | $57.12 |
| Virgin Islands | $57.12 | $57.12 |
| Montana | $56.78 | $56.78 |
| Minnesota | $56.57 | $56.57 |
| Nevada | $56.54 | $56.54 |
| Pennsylvania | $56.41 | $56.41 |
| Wyoming | $56.35 | $56.35 |
| Delaware | $56.32 | $56.32 |
| Texas | $56.27 | $56.27 |
| North Dakota | $55.79 | $55.79 |
| Virginia | $55.72 | $55.72 |
| South Dakota | $55.67 | $55.67 |
| Vermont | $55.62 | $55.62 |
| Georgia | $55.61 | $55.61 |
| Arizona | $55.51 | $55.51 |
| Michigan | $55.43 | $55.43 |
| Maine | $54.67 | $54.67 |
| Utah | $54.61 | $54.61 |
| New Mexico | $54.34 | $54.34 |
| Wisconsin | $54.22 | $54.22 |
| Missouri | $54.01 | $54.01 |
| South Carolina | $53.99 | $53.99 |
| Louisiana | $53.96 | $53.96 |
| North Carolina | $53.94 | $53.94 |
| Ohio | $53.89 | $53.89 |
| Indiana | $53.48 | $53.48 |
| Idaho | $53.23 | $53.23 |
| Nebraska | $53.17 | $53.17 |
| West Virginia | $53.13 | $53.13 |
| Tennessee | $52.97 | $52.97 |
| Iowa | $52.94 | $52.94 |
| Kentucky | $52.93 | $52.93 |
| Oklahoma | $52.84 | $52.84 |
| Kansas | $52.75 | $52.75 |
| Alabama | $51.88 | $51.88 |
| Mississippi | $51.70 | $51.70 |
| Arkansas | $51.26 | $51.26 |

## Related codes

- G0068: Professional services for home infusion drug administration, IV push, per diem — https://www.med-reveal.com/rates/G0068-hcpcs-fee-schedule
- G0070: Professional services for home infusion, subcutaneous infusion, initial visit — https://www.med-reveal.com/rates/G0070-hcpcs-fee-schedule
- G0154: Direct skilled nursing services, home health, each 15 minutes — https://www.med-reveal.com/rates/G0154-hcpcs-fee-schedule
- G0179: Physician recertification for Medicare-covered home health services — https://www.med-reveal.com/rates/G0179-hcpcs-fee-schedule
- G0181: Physician supervision of home health patient, 30 minutes or more — https://www.med-reveal.com/rates/G0181-hcpcs-fee-schedule
- G0182: Physician supervision of hospice patient, 30 minutes or more — https://www.med-reveal.com/rates/G0182-hcpcs-fee-schedule
- G0248: Demonstration/training patient/caregiver for INR home monitoring — https://www.med-reveal.com/rates/G0248-hcpcs-fee-schedule
- G0289: Arthroscopy, knee, removal of loose body/foreign body/debridement at time of other surgical knee arthroscopy (add-on) — https://www.med-reveal.com/rates/G0289-hcpcs-fee-schedule

Commercial negotiated rates for G0180 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules