HCPCS code G0108: Diabetes training, individual, per 30 minutes2026 Medicare rate & RVUs in El Centro, CA
Reports one-to-one diabetes self-management education, such as instruction in glucose monitoring, medication use, meal planning, and responding to low blood sugar.
In El Centro, CA, Medicare pays $58.02 for G0108 in the office.
Check a contract rate as a % of Medicare · G0108 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What G0108 covers
G0108 represents individualized diabetes self-management training delivered one-on-one, commonly by a diabetes care and education specialist or another qualified educator in an outpatient setting. Instruction may address blood glucose monitoring, medication and insulin routines, meal planning, physical activity, and recognizing or responding to hypoglycemia. The service is part of a structured diabetes education program, rather than a brief discussion incidental to an office visit.
Report the code in 30-minute units for individual training time. Documentation should identify the education provided, the patient’s needs and learning goals, and the time spent in the training; keep time for a separately furnished service distinct. G0109 is the group-training counterpart, so select between the codes according to whether instruction was individual or delivered in a group.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How El Centro, CA compares for G0108
Across 109 of 109 payment localities, the office rate for G0108 runs from $51.69 in Arkansas to $71.79 in Alaska. El Centro, CA pays $58.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$58.02
- Bakersfield, CA · California$58.17+$0.15
- Chico, CA · California$58.01−$0.01
- Fresno, CA · California$58.01−$0.01
- Hanford, CA · California$58.01−$0.01
- Los Angeles, CA · California$61.03+$3.01
- Madera, CA · California$58.01−$0.01
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $58.01 | — |
| Modesto, CACalifornia | $58.01 | — |
| Napa, CACalifornia | $64.77 | — |
| Oxnard, CACalifornia | $60.56 | — |
| Redding, CACalifornia | $58.01 | — |
| Rest of CaliforniaCalifornia | $58.01 | — |
| Riverside, CACalifornia | $58.46 | — |
| Sacramento, CACalifornia | $60.22 | — |
| Salinas, CACalifornia | $59.97 | — |
| San Diego, CACalifornia | $60.85 | — |
| Marin County, CACalifornia | $67.91 | — |
| San Francisco, CACalifornia | $67.86 | — |
| San Benito County, CACalifornia | $69.24 | — |
| Santa Clara County, CACalifornia | $69.06 | — |
| San Luis Obispo, CACalifornia | $59.06 | — |
| Santa Cruz, CACalifornia | $61.03 | — |
| Santa Maria, CACalifornia | $60.05 | — |
| Santa Rosa, CACalifornia | $61.62 | — |
| Stockton, CACalifornia | $58.01 | — |
| Vallejo, CACalifornia | $64.70 | — |
| Visalia, CACalifornia | $58.01 | — |
| Yuba City, CACalifornia | $58.01 | — |
| Washington, DC areaDistrict of Columbia | $61.89 | — |
| Miami, FLFlorida | $58.82 | — |
| Chicago, ILIllinois | $57.84 | — |
| Manhattan, NYNew York | $62.44 | — |
| AlaskaAlaska | $71.79 | — |
| AlabamaAlabama | $52.15 | — |
| ArkansasArkansas | $51.69 | — |
| ArizonaArizona | $54.83 | — |
| ColoradoColorado | $57.41 | — |
| ConnecticutConnecticut | $58.54 | — |
| DelawareDelaware | $55.50 | — |
| Fort Lauderdale, FLFlorida | $57.18 | — |
| Rest of FloridaFlorida | $55.38 | — |
| Atlanta, GAGeorgia | $56.53 | — |
| Rest of GeorgiaGeorgia | $53.40 | — |
| Hawaii, Guam, HIHawaii | $58.56 | — |
| IowaIowa | $52.90 | — |
| IdahoIdaho | $53.12 | — |
| East St. Louis, ILIllinois | $55.18 | — |
| Rest of IllinoisIllinois | $54.41 | — |
| Suburban Chicago, ILIllinois | $57.68 | — |
| IndianaIndiana | $53.31 | — |
| KansasKansas | $52.78 | — |
| KentuckyKentucky | $52.96 | — |
| New Orleans, LALouisiana | $54.52 | — |
| Rest of LouisianaLouisiana | $52.92 | — |
| Metropolitan Boston, MAMassachusetts | $61.60 | — |
| Rest of MassachusettsMassachusetts | $57.28 | — |
| Baltimore area, MDMaryland | $58.36 | — |
| Rest of MarylandMaryland | $56.26 | — |
| Rest of MaineMaine | $53.32 | — |
| Southern Maine, MEMaine | $55.07 | — |
| Detroit, MIMichigan | $55.84 | — |
| Rest of MichiganMichigan | $53.83 | — |
| MinnesotaMinnesota | $55.55 | — |
| Metropolitan Kansas City, MOMissouri | $54.26 | — |
| Metropolitan St. Louis, MOMissouri | $54.61 | — |
| Rest of MissouriMissouri | $52.38 | — |
| MississippiMississippi | $52.04 | — |
| MontanaMontana | $55.78 | — |
| North CarolinaNorth Carolina | $53.66 | — |
| North DakotaNorth Dakota | $54.99 | — |
| NebraskaNebraska | $53.07 | — |
| New HampshireNew Hampshire | $56.61 | — |
| Northern New JerseyNew Jersey | $61.67 | — |
| Rest of New JerseyNew Jersey | $59.35 | — |
| New MexicoNew Mexico | $54.02 | — |
| NevadaNevada | $55.58 | — |
| NYC suburbs and Long Island, NYNew York | $63.46 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $59.73 | — |
| Queens, NYNew York | $62.73 | — |
| Rest of New YorkNew York | $54.16 | — |
| OhioOhio | $53.67 | — |
| OklahomaOklahoma | $52.87 | — |
| Portland, OROregon | $58.62 | — |
| Rest of OregonOregon | $55.29 | — |
| Metropolitan Philadelphia, PAPennsylvania | $57.58 | — |
| Rest of PennsylvaniaPennsylvania | $53.71 | — |
| Puerto RicoPuerto Rico | $56.03 | — |
| Rhode IslandRhode Island | $57.01 | — |
| South CarolinaSouth Carolina | $53.73 | — |
| South DakotaSouth Dakota | $54.89 | — |
| TennesseeTennessee | $52.94 | — |
| Austin, TXTexas | $57.10 | — |
| Beaumont, TXTexas | $53.49 | — |
| Brazoria, TXTexas | $55.51 | — |
| Dallas, TXTexas | $55.76 | — |
| Fort Worth, TXTexas | $55.54 | — |
| Galveston, TXTexas | $55.62 | — |
| Houston, TXTexas | $56.35 | — |
| Rest of TexasTexas | $54.41 | — |
| UtahUtah | $54.18 | — |
| VirginiaVirginia | $54.97 | — |
| Virgin Islands, VIUnited States Virgin Islands | $56.03 | — |
| VermontVermont | $54.88 | — |
| Rest of WashingtonWashington | $57.14 | — |
| King County, WAWashington | $62.57 | — |
| WisconsinWisconsin | $53.83 | — |
| West VirginiaWest Virginia | $53.16 | — |
| WyomingWyoming | $55.43 | — |
G0108 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$51.69
$71.79
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $71.79 | 1 |
| AL | $52.15 | 1 |
| AR | $51.69 | 1 |
| AZ | $54.83 | 1 |
| CA | $58.01–$69.24 | 29 |
| CO | $57.41 | 1 |
| CT | $58.54 | 1 |
| DC | $61.89 | 1 |
| DE | $55.50 | 1 |
| FL | $55.38–$58.82 | 3 |
| GA | $53.40–$56.53 | 2 |
| GU | $58.56 | 1 |
| HI | $58.56 | 1 |
| IA | $52.90 | 1 |
| ID | $53.12 | 1 |
| IL | $54.41–$57.84 | 4 |
| IN | $53.31 | 1 |
| KS | $52.78 | 1 |
| KY | $52.96 | 1 |
| LA | $52.92–$54.52 | 2 |
| MA | $57.28–$61.60 | 2 |
| MD | $56.26–$61.89 | 3 |
| ME | $53.32–$55.07 | 2 |
| MI | $53.83–$55.84 | 2 |
| MN | $55.55 | 1 |
| MO | $52.38–$54.61 | 3 |
| MS | $52.04 | 1 |
| MT | $55.78 | 1 |
| NC | $53.66 | 1 |
| ND | $54.99 | 1 |
| NE | $53.07 | 1 |
| NH | $56.61 | 1 |
| NJ | $59.35–$61.67 | 2 |
| NM | $54.02 | 1 |
| NV | $55.58 | 1 |
| NY | $54.16–$63.46 | 5 |
| OH | $53.67 | 1 |
| OK | $52.87 | 1 |
| OR | $55.29–$58.62 | 2 |
| PA | $53.71–$57.58 | 2 |
| PR | $56.03 | 1 |
| RI | $57.01 | 1 |
| SC | $53.73 | 1 |
| SD | $54.89 | 1 |
| TN | $52.94 | 1 |
| TX | $53.49–$57.10 | 8 |
| UT | $54.18 | 1 |
| VA | $54.97–$61.89 | 2 |
| VI | $56.03 | 1 |
| VT | $54.88 | 1 |
| WA | $57.14–$62.57 | 2 |
| WI | $53.83 | 1 |
| WV | $53.16 | 1 |
| WY | $55.43 | 1 |
How the G0108 rate is calculated
Each of G0108’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0108
RVUs × geographic indexes × conversion factor
Work0.90
0.90 RVUs× 1.000 GPCI
Practice expense0.73
0.73 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.6700
Conversion factor
$33.4009
Medicare rate
$55.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,089
- Code
- G0108
- Physician work
- 0.90
- Practice expense
- 0.73
- Malpractice
- 0.04
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.90 | × 1.017 | 0.9153 |
| Practice expense | 0.73 | × 1.096 | 0.8001 |
| Malpractice | 0.04 | × 0.541 | 0.0216 |
| Total RVUs | 1.7370 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro, CA$58.02
Office: (0.9 × 1.017 + 0.73 × 1.096 + 0.04 × 0.541) × $33.4009 = $58.02
Payment rules and modifiers for G0108
G0108 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G0108
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$55.78
Higher because the practice carries its own overhead.
How G0108 has changed in El Centro, CA
G0108 · Office / nonfacility
$58.02
Effective 2026-10-01
The base rate is $3.01 higher than on 2025-10-01, moving from $55.01 to $58.02 (5.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$55.01changed to$58.02
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.70 changed to 0.73
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$56.24changed to$55.01
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.69 changed to 0.70
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$55.32changed to$56.24
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$56.81changed to$55.32
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.68 changed to 0.69
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.595 changed to 0.570
January 1, 2023
RVU23A
$57.75changed to$56.81
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.67 changed to 0.68
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.620 changed to 0.595
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$57.85changed to$57.75
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.66 changed to 0.67
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$58.68changed to$57.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.63 changed to 0.66
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.606 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$57.90changed to$58.68
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.62 changed to 0.63
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.570 changed to 0.606
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$55.90changed to$57.90
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.57 changed to 0.62
- Malpractice GPCI 0.567 changed to 0.570
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$55.86changed to$55.90
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.56 changed to 0.57
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.567
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$55.86
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $58.02 | Not available in this setting | RVU26D |
| 2026-07-01 | $58.02 | Not available in this setting | RVU26C |
| 2026-04-01 | $58.02 | Not available in this setting | RVU26B |
| 2026-01-01 | $58.02 | Not available in this setting | RVU26A |
| 2025-10-01 | $55.01 | Not available in this setting | RVU25D |
| 2025-07-01 | $55.01 | Not available in this setting | RVU25C |
| 2025-04-01 | $55.01 | Not available in this setting | RVU25B |
| 2025-01-01 | $55.01 | Not available in this setting | RVU25A |
| 2024-10-01 | $56.24 | Not available in this setting | RVU24D |
| 2024-07-01 | $56.24 | Not available in this setting | RVU24C |
| 2024-04-01 | $56.24 | Not available in this setting | RVU24B |
| 2024-03-09 | $56.24 | Not available in this setting | RVU24AR |
| 2024-01-01 | $55.32 | Not available in this setting | RVU24A |
| 2023-10-01 | $56.81 | Not available in this setting | RVU23D |
| 2023-07-01 | $56.81 | Not available in this setting | RVU23C |
| 2023-04-01 | $56.81 | Not available in this setting | RVU23B |
| 2023-01-01 | $56.81 | Not available in this setting | RVU23A |
| 2022-10-01 | $57.75 | Not available in this setting | RVU22D |
| 2022-07-01 | $57.75 | Not available in this setting | RVU22C |
| 2022-04-01 | $57.75 | Not available in this setting | RVU22B |
| 2022-01-01 | $57.75 | Not available in this setting | RVU22A |
| 2021-10-01 | $57.85 | Not available in this setting | RVU21D |
| 2021-07-01 | $57.85 | Not available in this setting | RVU21C |
| 2021-04-01 | $57.85 | Not available in this setting | RVU21B |
| 2021-01-01 | $57.85 | Not available in this setting | RVU21A |
| 2020-10-01 | $58.68 | Not available in this setting | RVU20D |
| 2020-07-01 | $58.68 | Not available in this setting | RVU20C |
| 2020-04-01 | $58.68 | Not available in this setting | RVU20B |
| 2020-01-01 | $58.68 | Not available in this setting | RVU20A |
| 2019-10-01 | $57.90 | Not available in this setting | RVU19D |
| 2019-07-01 | $57.90 | Not available in this setting | RVU19C |
| 2019-04-01 | $57.90 | Not available in this setting | RVU19B |
| 2019-01-01 | $57.90 | Not available in this setting | RVU19A |
| 2018-10-01 | $55.90 | Not available in this setting | RVU18D |
| 2018-07-01 | $55.90 | Not available in this setting | RVU18C |
| 2018-04-01 | $55.90 | Not available in this setting | RVU18B |
| 2018-01-01 | $55.90 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $55.86 | Not available in this setting | RVU17D |
| 2017-07-01 | $55.86 | Not available in this setting | RVU17C |
| 2017-04-01 | $55.86 | Not available in this setting | RVU17B |
| 2017-01-01 | $55.86 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
G0108 billing questions
When should G0108 be used instead of G0109?
Use G0108 for one-to-one diabetes self-management training. G0109 is for training delivered in a group.
How are units counted?
Report G0108 in 30-minute units of individual training. Document the training time and the education delivered.
Can an office visit be reported on the same date?
A separately furnished and documented evaluation or management service may be distinct from the training. Do not include the same work or time in both services.
Does meal-planning instruction belong under G0108?
Meal planning can be part of diabetes self-management training. A separately furnished medical nutrition therapy service is distinct and should be documented as such.
What should the training note include?
Record the individual instruction provided, the patient’s relevant learning needs or goals, and the time spent. The note should make clear that the service was diabetes self-management training, not a brief incidental discussion.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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