# HCPCS G0086

> Medicare paid $73.82 for HCPCS G0086 in the office (non-facility) setting and $73.82 in a facility under the Q1 2026 Physician Fee Schedule, effective January 2026. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, both settings' amount is $68.15–$95.06. This is a 2.8% increase from the previous quarter.

## What it is

Care man home care plan 30 m

## Selected release

- Release: Q1 2026 (2026 A)
- Effective: January 1 – March 31, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $73.82
- Facility national allowed amount: $73.82
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.25
- Office (non-facility) practice expense RVU: 0.86
- Facility practice expense RVU: 0.86
- Malpractice RVU: 0.10
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26a-updated-12-29-2025.zip
- Parsed file: PPRRVU2026_Jan_nonQPP.csv, row 14,954
- Canonical page: https://localishealth.com/hcpcs/G0086/2026/A
- Release-specific citation URL: https://localishealth.com/hcpcs/G0086/2026/A
- Last significant update: 2026-08-04T03:16:00+00:00