Medicare Reimbursement for G2014 – Post-Discharge Care Plan Oversight (30+ Minutes)

HCPCS code G2014 describes post-discharge care plan oversight services lasting more than 30 minutes. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for 2026, both nationally and adjustable by locality, and compares non-facility and facility settings.

Medicare allowed amount (2026)

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Clinical. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare PFS amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to a locality. The adjusted RVUs are summed and multiplied by the annual conversion factor to produce the allowed amount. For this code, the practice-expense RVU is the same in both non-facility and facility settings, so the estimated payment does not differ by place of service. Because GPCIs vary by region, the same code can yield different allowed amounts across localities even though the underlying RVUs and conversion factor stay constant nationally.

RVUs — work 1.25, practice expense 0.86 (non-facility) / 0.86 (facility), malpractice 0.1 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

• This is an estimate only — actual Medicare payment may differ.
• Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary payer is responsible for the remainder.
• Modifiers, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
• Locality-specific GPCIs affect the allowed amount; verify current figures with your Medicare Administrative Contractor (MAC).
• Rates shown are for the stated fee schedule year and may change with future updates.

Frequently asked

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.