HCPCS code G0109: Diabetes training, group session2026 Medicare rate & RVUs in New Mexico
Reports timed group diabetes self-management training for patients learning practical skills to manage diabetes in an organized outpatient education program.
In New Mexico, Medicare pays $15.49 for G0109 in the office.
Check a contract rate as a % of Medicare · G0109 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 G0109 covers
G0109 represents diabetes self-management training delivered to a group of at least two patients, in 30-minute units. The session may cover practical skills such as glucose monitoring, medication use, food choices, physical activity, and recognizing or responding to glucose problems. Registered nurses, dietitians, pharmacists, and other qualified diabetes educators commonly provide this training through an organized outpatient program in a clinic or community setting.
Report the code for the group-training service, not for one-to-one education; individual diabetes training is reported with G0108. The record should support the training date and time, group format, attendance, instructor, topics covered, and each patient’s participation or learning needs. CMS fee-schedule payment is tied to the reported 30-minute units. Keep documentation distinct when a patient also receives medical nutrition therapy, since that service has a different focus and code set.
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 New Mexico compares for G0109
Across 109 of 109 payment localities, the office rate for G0109 runs from $14.83 in Arkansas to $20.54 in Alaska. New Mexico pays $15.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$15.49
- Los Angeles, CA · California$17.61+$2.12
- Washington, DC area · District of Columbia$17.83+$2.34
- Miami, FL · Florida$16.84+$1.35
- Chicago, IL · Illinois$16.56+$1.07
- Manhattan, NY · New York$17.95+$2.46
- Alaska · Alaska$20.54+$5.05
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $14.97 | — |
| ArkansasArkansas | $14.83 | — |
| ArizonaArizona | $15.76 | — |
| Bakersfield, CACalifornia | $16.77 | — |
| Chico, CACalifornia | $16.72 | — |
| El Centro, CACalifornia | $16.73 | — |
| Fresno, CACalifornia | $16.72 | — |
| Hanford, CACalifornia | $16.72 | — |
| Madera, CACalifornia | $16.72 | — |
| Merced, CACalifornia | $16.72 | — |
| Modesto, CACalifornia | $16.72 | — |
| Napa, CACalifornia | $18.73 | — |
| Oxnard, CACalifornia | $17.48 | — |
| Redding, CACalifornia | $16.72 | — |
| Rest of CaliforniaCalifornia | $16.72 | — |
| Riverside, CACalifornia | $16.84 | — |
| Sacramento, CACalifornia | $17.38 | — |
| Salinas, CACalifornia | $17.30 | — |
| San Diego, CACalifornia | $17.57 | — |
| Marin County, CACalifornia | $19.66 | — |
| San Francisco, CACalifornia | $19.65 | — |
| San Benito County, CACalifornia | $20.04 | — |
| Santa Clara County, CACalifornia | $20.00 | — |
| San Luis Obispo, CACalifornia | $17.04 | — |
| Santa Cruz, CACalifornia | $17.63 | — |
| Santa Maria, CACalifornia | $17.33 | — |
| Santa Rosa, CACalifornia | $17.80 | — |
| Stockton, CACalifornia | $16.72 | — |
| Vallejo, CACalifornia | $18.71 | — |
| Visalia, CACalifornia | $16.72 | — |
| Yuba City, CACalifornia | $16.72 | — |
| ColoradoColorado | $16.53 | — |
| ConnecticutConnecticut | $16.84 | — |
| DelawareDelaware | $15.95 | — |
| Fort Lauderdale, FLFlorida | $16.40 | — |
| Rest of FloridaFlorida | $15.88 | — |
| Atlanta, GAGeorgia | $16.24 | — |
| Rest of GeorgiaGeorgia | $15.30 | — |
| Hawaii, Guam, HIHawaii | $16.90 | — |
| IowaIowa | $15.21 | — |
| IdahoIdaho | $15.27 | — |
| East St. Louis, ILIllinois | $15.78 | — |
| Rest of IllinoisIllinois | $15.58 | — |
| Suburban Chicago, ILIllinois | $16.55 | — |
| IndianaIndiana | $15.32 | — |
| KansasKansas | $15.16 | — |
| KentuckyKentucky | $15.19 | — |
| New Orleans, LALouisiana | $15.64 | — |
| Rest of LouisianaLouisiana | $15.17 | — |
| Metropolitan Boston, MAMassachusetts | $17.76 | — |
| Rest of MassachusettsMassachusetts | $16.49 | — |
| Baltimore area, MDMaryland | $16.78 | — |
| Rest of MarylandMaryland | $16.18 | — |
| Rest of MaineMaine | $15.32 | — |
| Southern Maine, MEMaine | $15.84 | — |
| Detroit, MIMichigan | $16.00 | — |
| Rest of MichiganMichigan | $15.44 | — |
| MinnesotaMinnesota | $16.01 | — |
| Metropolitan Kansas City, MOMissouri | $15.58 | — |
| Metropolitan St. Louis, MOMissouri | $15.68 | — |
| Rest of MissouriMissouri | $15.01 | — |
| MississippiMississippi | $14.92 | — |
| MontanaMontana | $16.03 | — |
| North CarolinaNorth Carolina | $15.42 | — |
| North DakotaNorth Dakota | $15.83 | — |
| NebraskaNebraska | $15.26 | — |
| New HampshireNew Hampshire | $16.29 | — |
| Northern New JerseyNew Jersey | $17.76 | — |
| Rest of New JerseyNew Jersey | $17.07 | — |
| NevadaNevada | $15.98 | — |
| NYC suburbs and Long Island, NYNew York | $18.24 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $17.18 | — |
| Queens, NYNew York | $18.05 | — |
| Rest of New YorkNew York | $15.57 | — |
| OhioOhio | $15.40 | — |
| OklahomaOklahoma | $15.17 | — |
| Portland, OROregon | $16.90 | — |
| Rest of OregonOregon | $15.90 | — |
| Metropolitan Philadelphia, PAPennsylvania | $16.55 | — |
| Rest of PennsylvaniaPennsylvania | $15.41 | — |
| Puerto RicoPuerto Rico | $16.11 | — |
| Rhode IslandRhode Island | $16.40 | — |
| South CarolinaSouth Carolina | $15.42 | — |
| South DakotaSouth Dakota | $15.81 | — |
| TennesseeTennessee | $15.21 | — |
| Austin, TXTexas | $16.44 | — |
| Beaumont, TXTexas | $15.35 | — |
| Brazoria, TXTexas | $15.96 | — |
| Dallas, TXTexas | $16.03 | — |
| Fort Worth, TXTexas | $15.96 | — |
| Galveston, TXTexas | $15.99 | — |
| Houston, TXTexas | $16.17 | — |
| Rest of TexasTexas | $15.63 | — |
| UtahUtah | $15.56 | — |
| VirginiaVirginia | $15.81 | — |
| Virgin Islands, VIUnited States Virgin Islands | $16.11 | — |
| VermontVermont | $15.79 | — |
| Rest of WashingtonWashington | $16.45 | — |
| King County, WAWashington | $18.06 | — |
| WisconsinWisconsin | $15.49 | — |
| West VirginiaWest Virginia | $15.21 | — |
| WyomingWyoming | $15.95 | — |
G0109 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.
$14.83
$20.54
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 | $20.54 | 1 |
| AL | $14.97 | 1 |
| AR | $14.83 | 1 |
| AZ | $15.76 | 1 |
| CA | $16.72–$20.04 | 29 |
| CO | $16.53 | 1 |
| CT | $16.84 | 1 |
| DC | $17.83 | 1 |
| DE | $15.95 | 1 |
| FL | $15.88–$16.84 | 3 |
| GA | $15.30–$16.24 | 2 |
| GU | $16.90 | 1 |
| HI | $16.90 | 1 |
| IA | $15.21 | 1 |
| ID | $15.27 | 1 |
| IL | $15.58–$16.56 | 4 |
| IN | $15.32 | 1 |
| KS | $15.16 | 1 |
| KY | $15.19 | 1 |
| LA | $15.17–$15.64 | 2 |
| MA | $16.49–$17.76 | 2 |
| MD | $16.18–$17.83 | 3 |
| ME | $15.32–$15.84 | 2 |
| MI | $15.44–$16.00 | 2 |
| MN | $16.01 | 1 |
| MO | $15.01–$15.68 | 3 |
| MS | $14.92 | 1 |
| MT | $16.03 | 1 |
| NC | $15.42 | 1 |
| ND | $15.83 | 1 |
| NE | $15.26 | 1 |
| NH | $16.29 | 1 |
| NJ | $17.07–$17.76 | 2 |
| NM | $15.49 | 1 |
| NV | $15.98 | 1 |
| NY | $15.57–$18.24 | 5 |
| OH | $15.40 | 1 |
| OK | $15.17 | 1 |
| OR | $15.90–$16.90 | 2 |
| PA | $15.41–$16.55 | 2 |
| PR | $16.11 | 1 |
| RI | $16.40 | 1 |
| SC | $15.42 | 1 |
| SD | $15.81 | 1 |
| TN | $15.21 | 1 |
| TX | $15.35–$16.44 | 8 |
| UT | $15.56 | 1 |
| VA | $15.81–$17.83 | 2 |
| VI | $16.11 | 1 |
| VT | $15.79 | 1 |
| WA | $16.45–$18.06 | 2 |
| WI | $15.49 | 1 |
| WV | $15.21 | 1 |
| WY | $15.95 | 1 |
How the G0109 rate is calculated
Each of G0109’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 · G0109
RVUs × geographic indexes × conversion factor
Work0.25
0.25 RVUs× 1.000 GPCI
Practice expense0.22
0.22 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4800
Conversion factor
$33.4009
Medicare rate
$16.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,090
- Code
- G0109
- Physician work
- 0.25
- Practice expense
- 0.22
- Malpractice
- 0.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.25 | × 1.000 | 0.2500 |
| Practice expense | 0.22 | × 0.917 | 0.2017 |
| Malpractice | 0.01 | × 1.201 | 0.0120 |
| Total RVUs | 0.4638 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$15.49
Office: (0.25 × 1 + 0.22 × 0.917 + 0.01 × 1.201) × $33.4009 = $15.49
Payment rules and modifiers for G0109
G0109 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 · G0109
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$16.03
Higher because the practice carries its own overhead.
How G0109 has changed in New Mexico
G0109 · Office / nonfacility
$15.49
Effective 2026-10-01
The base rate is $0.86 higher than on 2025-10-01, moving from $14.63 to $15.49 (5.9%).
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
$14.63changed to$15.49
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.21 changed to 0.22
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$15.06changed to$14.63
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$14.81changed to$15.06
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$14.98changed to$14.81
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.20 changed to 0.21
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$15.26changed to$14.98
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$15.07changed to$15.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.19 changed to 0.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$15.36changed to$15.07
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.18 changed to 0.19
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$15.10changed to$15.36
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.17 changed to 0.18
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$14.42changed to$15.10
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.15 changed to 0.17
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$14.36changed to$14.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$13.97changed to$14.36
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.14 changed to 0.15
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$14.02changed to$13.97
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$13.95changed to$14.02
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$14.28changed to$13.95
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.15 changed to 0.14
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$13.52changed to$14.28
- Conversion factor 34.0230 changed to 35.8228
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $13.52
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $15.49 | Not available in this setting | RVU26D |
| 2026-07-01 | $15.49 | Not available in this setting | RVU26C |
| 2026-04-01 | $15.49 | Not available in this setting | RVU26B |
| 2026-01-01 | $15.49 | Not available in this setting | RVU26A |
| 2025-10-01 | $14.63 | Not available in this setting | RVU25D |
| 2025-07-01 | $14.63 | Not available in this setting | RVU25C |
| 2025-04-01 | $14.63 | Not available in this setting | RVU25B |
| 2025-01-01 | $14.63 | Not available in this setting | RVU25A |
| 2024-10-01 | $15.06 | Not available in this setting | RVU24D |
| 2024-07-01 | $15.06 | Not available in this setting | RVU24C |
| 2024-04-01 | $15.06 | Not available in this setting | RVU24B |
| 2024-03-09 | $15.06 | Not available in this setting | RVU24AR |
| 2024-01-01 | $14.81 | Not available in this setting | RVU24A |
| 2023-10-01 | $14.98 | Not available in this setting | RVU23D |
| 2023-07-01 | $14.98 | Not available in this setting | RVU23C |
| 2023-04-01 | $14.98 | Not available in this setting | RVU23B |
| 2023-01-01 | $14.98 | Not available in this setting | RVU23A |
| 2022-10-01 | $15.26 | Not available in this setting | RVU22D |
| 2022-07-01 | $15.26 | Not available in this setting | RVU22C |
| 2022-04-01 | $15.26 | Not available in this setting | RVU22B |
| 2022-01-01 | $15.26 | Not available in this setting | RVU22A |
| 2021-10-01 | $15.07 | Not available in this setting | RVU21D |
| 2021-07-01 | $15.07 | Not available in this setting | RVU21C |
| 2021-04-01 | $15.07 | Not available in this setting | RVU21B |
| 2021-01-01 | $15.07 | Not available in this setting | RVU21A |
| 2020-10-01 | $15.36 | Not available in this setting | RVU20D |
| 2020-07-01 | $15.36 | Not available in this setting | RVU20C |
| 2020-04-01 | $15.36 | Not available in this setting | RVU20B |
| 2020-01-01 | $15.36 | Not available in this setting | RVU20A |
| 2019-10-01 | $15.10 | Not available in this setting | RVU19D |
| 2019-07-01 | $15.10 | Not available in this setting | RVU19C |
| 2019-04-01 | $15.10 | Not available in this setting | RVU19B |
| 2019-01-01 | $15.10 | Not available in this setting | RVU19A |
| 2018-10-01 | $14.42 | Not available in this setting | RVU18D |
| 2018-07-01 | $14.42 | Not available in this setting | RVU18C |
| 2018-04-01 | $14.42 | Not available in this setting | RVU18B |
| 2018-01-01 | $14.42 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $14.36 | Not available in this setting | RVU17D |
| 2017-07-01 | $14.36 | Not available in this setting | RVU17C |
| 2017-04-01 | $14.36 | Not available in this setting | RVU17B |
| 2017-01-01 | $14.36 | Not available in this setting | RVU17A |
| 2016-10-01 | $13.97 | Not available in this setting | RVU16D |
| 2016-07-01 | $13.97 | Not available in this setting | RVU16C |
| 2016-04-01 | $13.97 | Not available in this setting | RVU16B |
| 2016-01-01 | $13.97 | Not available in this setting | RVU16A |
| 2015-10-01 | $14.02 | Not available in this setting | RVU15D |
| 2015-07-01 | $14.02 | Not available in this setting | RVU15C |
| 2015-04-01 | $13.95 | Not available in this setting | RVU15B |
| 2015-01-01 | $13.95 | Not available in this setting | RVU15A |
| 2014-10-01 | $14.28 | Not available in this setting | RVU14D |
| 2014-07-01 | $14.28 | Not available in this setting | RVU14C |
| 2014-04-01 | $14.28 | Not available in this setting | RVU14B |
| 2014-01-01 | $14.28 | Not available in this setting | RVU14A |
| 2013-10-01 | $13.52 | Not available in this setting | RVU13D |
| 2013-07-01 | $13.52 | Not available in this setting | RVU13C |
| 2013-04-01 | $13.52 | Not available in this setting | RVU13B |
| 2013-01-01 | $13.52 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
G0109 billing questions
When should G0109 be used instead of G0108?
Use G0109 for diabetes self-management training delivered to at least two patients as a group. G0108 represents individual diabetes training.
How are units determined?
G0109 is reported in 30-minute units. Document the training time and group session details supporting the units submitted.
Can group medical nutrition therapy be reported as G0109?
No. G0109 represents diabetes self-management training; group medical nutrition therapy is a distinct service reported with its own code when furnished and documented.
What documentation supports a G0109 claim?
Record the session’s date and duration, group format and attendance, instructor, topics taught, and the patient’s participation or learning needs.
Can individual and group diabetes training be reported for the same patient?
The formats are represented by different codes. Documentation should show that each separately reported service was actually furnished, including its format and time.
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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Your codes at your locality, with payer contracts beside Medicare.
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