HCPCS code G0317: Prolonged E/M, nursing facility, each 15 minutes2026 Medicare rate & RVUs in New Mexico
Reports qualifying additional time spent on a nursing facility evaluation and management service when a high-level visit requires prolonged clinician work.
In New Mexico, Medicare pays $33.01 for G0317 in the office and $26.88 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · G0317 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 G0317 covers
G0317 represents additional time spent by a physician or qualified health care professional on a nursing facility evaluation and management service. It may be relevant when an initial nursing facility assessment or a subsequent visit requires unusually extensive work, such as reviewing a complex medical record, evaluating the resident, discussing the plan with family or facility staff, and coordinating care. The additional time must be attributable to the nursing facility E/M service, not simply the time the clinician is present in the facility.
Report G0317 only with the qualifying primary nursing facility E/M service, 99306 or 99310, when documented total time exceeds the time represented by that primary service. Record the clinician’s qualifying work and total time for the date, separating time already counted toward the base visit from additional time. Each unit represents an additional 15 minutes, subject to the applicable time threshold. CMS classifies G0317 as an add-on code; payment is made with the primary procedure and within that procedure’s global period.
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 G0317
Across 109 of 109 payment localities, the office rate for G0317 runs from $31.39 in Arkansas to $44.10 in Alaska. New Mexico pays $33.01. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$33.01
- Los Angeles, CA · California$36.32+$3.31
- Washington, DC area · District of Columbia$37.13+$4.12
- Miami, FL · Florida$36.27+$3.26
- Chicago, IL · Illinois$35.67+$2.66
- Manhattan, NY · New York$37.77+$4.76
- Alaska · Alaska$44.10+$11.09
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $31.65 | $25.81 |
| ArkansasArkansas | $31.39 | $25.65 |
| ArizonaArizona | $33.17 | $26.70 |
| Bakersfield, CACalifornia | $34.75 | $27.43 |
| Chico, CACalifornia | $34.62 | $27.29 |
| El Centro, CACalifornia | $34.62 | $27.30 |
| Fresno, CACalifornia | $34.62 | $27.29 |
| Hanford, CACalifornia | $34.62 | $27.29 |
| Madera, CACalifornia | $34.62 | $27.29 |
| Merced, CACalifornia | $34.62 | $27.29 |
| Modesto, CACalifornia | $34.62 | $27.29 |
| Napa, CACalifornia | $38.18 | $29.38 |
| Oxnard, CACalifornia | $35.99 | $28.09 |
| Redding, CACalifornia | $34.62 | $27.29 |
| Rest of CaliforniaCalifornia | $34.62 | $27.29 |
| Riverside, CACalifornia | $35.06 | $27.74 |
| Sacramento, CACalifornia | $35.81 | $28.04 |
| Salinas, CACalifornia | $35.66 | $27.92 |
| San Diego, CACalifornia | $36.09 | $28.10 |
| Marin County, CACalifornia | $39.88 | $30.46 |
| San Francisco, CACalifornia | $39.83 | $30.41 |
| San Benito County, CACalifornia | $40.67 | $31.04 |
| Santa Clara County, CACalifornia | $40.49 | $30.85 |
| San Luis Obispo, CACalifornia | $35.13 | $27.52 |
| Santa Cruz, CACalifornia | $36.13 | $28.01 |
| Santa Maria, CACalifornia | $35.68 | $27.89 |
| Santa Rosa, CACalifornia | $36.47 | $28.26 |
| Stockton, CACalifornia | $34.62 | $27.29 |
| Vallejo, CACalifornia | $38.12 | $29.31 |
| Visalia, CACalifornia | $34.62 | $27.29 |
| Yuba City, CACalifornia | $34.62 | $27.29 |
| ColoradoColorado | $34.46 | $27.35 |
| ConnecticutConnecticut | $35.35 | $28.15 |
| DelawareDelaware | $33.56 | $26.96 |
| Fort Lauderdale, FLFlorida | $34.97 | $28.20 |
| Rest of FloridaFlorida | $33.88 | $27.49 |
| Atlanta, GAGeorgia | $34.26 | $27.47 |
| Rest of GeorgiaGeorgia | $32.69 | $26.73 |
| Hawaii, Guam, HIHawaii | $34.82 | $27.22 |
| IowaIowa | $31.91 | $25.79 |
| IdahoIdaho | $32.07 | $25.92 |
| East St. Louis, ILIllinois | $34.13 | $27.98 |
| Rest of IllinoisIllinois | $33.44 | $27.34 |
| Suburban Chicago, ILIllinois | $35.23 | $28.37 |
| IndianaIndiana | $32.17 | $25.98 |
| KansasKansas | $31.92 | $25.88 |
| KentuckyKentucky | $32.29 | $26.35 |
| New Orleans, LALouisiana | $33.21 | $26.92 |
| Rest of LouisianaLouisiana | $32.30 | $26.38 |
| Metropolitan Boston, MAMassachusetts | $36.76 | $28.78 |
| Rest of MassachusettsMassachusetts | $34.43 | $27.39 |
| Baltimore area, MDMaryland | $35.26 | $28.09 |
| Rest of MarylandMaryland | $33.97 | $27.21 |
| Rest of MaineMaine | $32.27 | $26.12 |
| Southern Maine, MEMaine | $33.13 | $26.51 |
| Detroit, MIMichigan | $34.23 | $27.78 |
| Rest of MichiganMichigan | $32.86 | $26.76 |
| MinnesotaMinnesota | $33.14 | $26.27 |
| Metropolitan Kansas City, MOMissouri | $32.97 | $26.70 |
| Metropolitan St. Louis, MOMissouri | $33.16 | $26.80 |
| Rest of MissouriMissouri | $32.04 | $26.28 |
| MississippiMississippi | $31.71 | $25.96 |
| MontanaMontana | $33.73 | $27.05 |
| North CarolinaNorth Carolina | $32.45 | $26.21 |
| North DakotaNorth Dakota | $32.94 | $26.26 |
| NebraskaNebraska | $31.98 | $25.81 |
| New HampshireNew Hampshire | $34.06 | $27.11 |
| Northern New JerseyNew Jersey | $37.03 | $29.28 |
| Rest of New JerseyNew Jersey | $35.79 | $28.49 |
| NevadaNevada | $33.52 | $26.84 |
| NYC suburbs and Long Island, NYNew York | $38.46 | $30.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $36.07 | $28.76 |
| Queens, NYNew York | $37.82 | $29.92 |
| Rest of New YorkNew York | $32.74 | $26.39 |
| OhioOhio | $32.70 | $26.60 |
| OklahomaOklahoma | $32.15 | $26.18 |
| Portland, OROregon | $35.05 | $27.63 |
| Rest of OregonOregon | $33.29 | $26.64 |
| Metropolitan Philadelphia, PAPennsylvania | $34.85 | $27.90 |
| Rest of PennsylvaniaPennsylvania | $32.68 | $26.54 |
| Puerto RicoPuerto Rico | $33.85 | $27.09 |
| Rhode IslandRhode Island | $34.37 | $27.47 |
| South CarolinaSouth Carolina | $32.62 | $26.45 |
| South DakotaSouth Dakota | $32.85 | $26.17 |
| TennesseeTennessee | $32.02 | $25.95 |
| Austin, TXTexas | $34.32 | $27.25 |
| Beaumont, TXTexas | $32.56 | $26.48 |
| Brazoria, TXTexas | $33.50 | $26.88 |
| Dallas, TXTexas | $33.68 | $27.03 |
| Fort Worth, TXTexas | $33.58 | $26.99 |
| Galveston, TXTexas | $33.58 | $26.95 |
| Houston, TXTexas | $34.32 | $27.68 |
| Rest of TexasTexas | $32.99 | $26.65 |
| UtahUtah | $32.88 | $26.60 |
| VirginiaVirginia | $33.14 | $26.57 |
| Virgin Islands, VIUnited States Virgin Islands | $33.85 | $27.09 |
| VermontVermont | $32.95 | $26.34 |
| Rest of WashingtonWashington | $34.32 | $27.28 |
| King County, WAWashington | $37.24 | $29.04 |
| WisconsinWisconsin | $32.31 | $25.91 |
| West VirginiaWest Virginia | $32.74 | $26.93 |
| WyomingWyoming | $33.39 | $26.71 |
G0317 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.
$31.39
$44.10
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 | $44.10 | 1 |
| AL | $31.65 | 1 |
| AR | $31.39 | 1 |
| AZ | $33.17 | 1 |
| CA | $34.62–$40.67 | 29 |
| CO | $34.46 | 1 |
| CT | $35.35 | 1 |
| DC | $37.13 | 1 |
| DE | $33.56 | 1 |
| FL | $33.88–$36.27 | 3 |
| GA | $32.69–$34.26 | 2 |
| GU | $34.82 | 1 |
| HI | $34.82 | 1 |
| IA | $31.91 | 1 |
| ID | $32.07 | 1 |
| IL | $33.44–$35.67 | 4 |
| IN | $32.17 | 1 |
| KS | $31.92 | 1 |
| KY | $32.29 | 1 |
| LA | $32.30–$33.21 | 2 |
| MA | $34.43–$36.76 | 2 |
| MD | $33.97–$37.13 | 3 |
| ME | $32.27–$33.13 | 2 |
| MI | $32.86–$34.23 | 2 |
| MN | $33.14 | 1 |
| MO | $32.04–$33.16 | 3 |
| MS | $31.71 | 1 |
| MT | $33.73 | 1 |
| NC | $32.45 | 1 |
| ND | $32.94 | 1 |
| NE | $31.98 | 1 |
| NH | $34.06 | 1 |
| NJ | $35.79–$37.03 | 2 |
| NM | $33.01 | 1 |
| NV | $33.52 | 1 |
| NY | $32.74–$38.46 | 5 |
| OH | $32.70 | 1 |
| OK | $32.15 | 1 |
| OR | $33.29–$35.05 | 2 |
| PA | $32.68–$34.85 | 2 |
| PR | $33.85 | 1 |
| RI | $34.37 | 1 |
| SC | $32.62 | 1 |
| SD | $32.85 | 1 |
| TN | $32.02 | 1 |
| TX | $32.56–$34.32 | 8 |
| UT | $32.88 | 1 |
| VA | $33.14–$37.13 | 2 |
| VI | $33.85 | 1 |
| VT | $32.95 | 1 |
| WA | $34.32–$37.24 | 2 |
| WI | $32.31 | 1 |
| WV | $32.74 | 1 |
| WY | $33.39 | 1 |
How the G0317 rate is calculated
Each of G0317’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 · G0317
RVUs × geographic indexes × conversion factor
Work0.61
0.61 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.0100
Conversion factor
$33.4009
Medicare rate
$33.73
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
15,194
- Code
- G0317
- Physician work
- 0.61
- Practice expense
- 0.36
- Malpractice
- 0.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.61 | × 1.000 | 0.6100 |
| Practice expense | 0.36 | × 0.917 | 0.3301 |
| Malpractice | 0.04 | × 1.201 | 0.0480 |
| Total RVUs | 0.9882 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$33.01
Office: (0.61 × 1 + 0.36 × 0.917 + 0.04 × 1.201) × $33.4009 = $33.01
Facility: (0.61 × 1 + 0.16 × 0.917 + 0.04 × 1.201) × $33.4009 = $26.88
Payment rules and modifiers for G0317
The CMS indicators that decide how G0317 is paid alongside other services.
CMS payment indicators · G0317
Prolonged E/M, nursing facility, each 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How G0317 has changed in New Mexico
G0317 · Office / nonfacility
$33.01
Effective 2026-10-01
The base rate is $3.24 higher than on 2025-10-01, moving from $29.77 to $33.01 (10.9%).
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
$29.77changed to$33.01
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.29 changed to 0.36
- 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
$30.93changed to$29.77
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.30 changed to 0.29
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$30.43changed to$30.93
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$31.12changed to$30.43
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.29 changed to 0.30
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
No ratechanged to$31.12
Held through RVU23B, RVU23C, RVU23D.
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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $33.01 | $26.88 | RVU26D |
| 2026-07-01 | $33.01 | $26.88 | RVU26C |
| 2026-04-01 | $33.01 | $26.88 | RVU26B |
| 2026-01-01 | $33.01 | $26.88 | RVU26A |
| 2025-10-01 | $29.77 | $28.59 | RVU25D |
| 2025-07-01 | $29.77 | $28.59 | RVU25C |
| 2025-04-01 | $29.77 | $28.59 | RVU25B |
| 2025-01-01 | $29.77 | $28.59 | RVU25A |
| 2024-10-01 | $30.93 | $29.42 | RVU24D |
| 2024-07-01 | $30.93 | $29.42 | RVU24C |
| 2024-04-01 | $30.93 | $29.42 | RVU24B |
| 2024-03-09 | $30.93 | $29.42 | RVU24AR |
| 2024-01-01 | $30.43 | $28.94 | RVU24A |
| 2023-10-01 | $31.12 | $29.90 | RVU23D |
| 2023-07-01 | $31.12 | $29.90 | RVU23C |
| 2023-04-01 | $31.12 | $29.90 | RVU23B |
| 2023-01-01 | $31.12 | $29.90 | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | 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
G0317 billing questions
Which nursing facility visit codes can be paired with G0317?
G0317 is paired with 99306 for qualifying initial nursing facility care or 99310 for qualifying subsequent care. It is not a stand-alone visit code.
When is G0317 appropriate instead of reporting a higher-level visit?
Use the applicable primary visit code based on the service and its selection criteria, then report G0317 only for qualifying additional time beyond the primary service’s time.
What time should the record support?
Document the clinician’s total qualifying time on the date of service and identify the work attributable to the additional time. Do not count time already used to select or support the primary visit.
Can G0317 be billed by itself?
No. It is an add-on code and must be billed with a qualifying primary nursing facility E/M service.
Does G0317 describe a separate procedure or facility service?
No. It reports additional clinician time for the nursing facility E/M service; it does not represent a separate procedure performed by facility staff.
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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