HCPCS code G0506: CCM care planning, comprehensive assessment2026 Medicare rate & RVUs in Colorado
Report G0506 when a physician or qualified health professional performs an extensive chronic care assessment and develops a care plan beyond the associated E/M service.
In Colorado, Medicare pays $68.64 for G0506 in the office and $38.79 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · G0506 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 G0506 covers
G0506 represents in-depth assessment and care planning for a patient with chronic conditions who is starting chronic care management. A physician or other qualified health professional may review the patient’s health problems, medications, functional needs, and supports, then establish an individualized plan for ongoing care. The work goes beyond the assessment and planning ordinarily included in the associated evaluation and management service.
Report G0506 as an add-on with the primary E/M procedure; it is not a stand-alone service. The record should show the chronic care needs assessed, the planning performed, and how that work exceeded the routine E/M. CMS pays the add-on within the primary procedure’s global period. G0506 describes the comprehensive planning work, not the recurring monthly management service; report a monthly CCM code only when its own requirements are met.
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 Colorado compares for G0506
Across 109 of 109 payment localities, the office rate for G0506 runs from $60.50 in Arkansas to $84.38 in San Benito County, CA. Colorado pays $68.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$68.64
- Los Angeles, CA · California$73.46+$4.82
- Washington, DC area · District of Columbia$74.57+$5.93
- Miami, FL · Florida$70.98+$2.34
- Chicago, IL · Illinois$69.44+$0.80
- Manhattan, NY · New York$75.24+$6.60
- Alaska · Alaska$82.40+$13.76
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $61.17 | $36.62 |
| ArkansasArkansas | $60.50 | $36.40 |
| ArizonaArizona | $65.08 | $37.89 |
| Bakersfield, CACalifornia | $69.64 | $38.88 |
| Chico, CACalifornia | $69.43 | $38.68 |
| El Centro, CACalifornia | $69.44 | $38.69 |
| Fresno, CACalifornia | $69.43 | $38.68 |
| Hanford, CACalifornia | $69.43 | $38.68 |
| Madera, CACalifornia | $69.43 | $38.68 |
| Merced, CACalifornia | $69.43 | $38.68 |
| Modesto, CACalifornia | $69.43 | $38.68 |
| Napa, CACalifornia | $78.57 | $41.59 |
| Oxnard, CACalifornia | $72.97 | $39.81 |
| Redding, CACalifornia | $69.43 | $38.68 |
| Rest of CaliforniaCalifornia | $69.43 | $38.68 |
| Riverside, CACalifornia | $70.10 | $39.34 |
| Sacramento, CACalifornia | $72.36 | $39.73 |
| Salinas, CACalifornia | $72.07 | $39.55 |
| San Diego, CACalifornia | $73.36 | $39.81 |
| Marin County, CACalifornia | $82.66 | $43.10 |
| San Francisco, CACalifornia | $82.59 | $43.03 |
| San Benito County, CACalifornia | $84.38 | $43.93 |
| Santa Clara County, CACalifornia | $84.10 | $43.65 |
| San Luis Obispo, CACalifornia | $70.95 | $39.00 |
| Santa Cruz, CACalifornia | $73.76 | $39.67 |
| Santa Maria, CACalifornia | $72.23 | $39.51 |
| Santa Rosa, CACalifornia | $74.48 | $40.03 |
| Stockton, CACalifornia | $69.43 | $38.68 |
| Vallejo, CACalifornia | $78.47 | $41.49 |
| Visalia, CACalifornia | $69.43 | $38.68 |
| Yuba City, CACalifornia | $69.43 | $38.68 |
| ConnecticutConnecticut | $70.20 | $39.98 |
| DelawareDelaware | $65.99 | $38.27 |
| Fort Lauderdale, FLFlorida | $68.55 | $40.13 |
| Rest of FloridaFlorida | $65.92 | $39.10 |
| Atlanta, GAGeorgia | $67.52 | $39.02 |
| Rest of GeorgiaGeorgia | $63.03 | $38.00 |
| Hawaii, Guam, HIHawaii | $70.47 | $38.57 |
| IowaIowa | $62.25 | $36.58 |
| IdahoIdaho | $62.58 | $36.77 |
| East St. Louis, ILIllinois | $65.67 | $39.86 |
| Rest of IllinoisIllinois | $64.52 | $38.90 |
| Suburban Chicago, ILIllinois | $69.17 | $40.36 |
| IndianaIndiana | $62.85 | $36.84 |
| KansasKansas | $62.07 | $36.71 |
| KentuckyKentucky | $62.37 | $37.43 |
| New Orleans, LALouisiana | $64.65 | $38.25 |
| Rest of LouisianaLouisiana | $62.31 | $37.48 |
| Metropolitan Boston, MAMassachusetts | $74.31 | $40.81 |
| Rest of MassachusettsMassachusetts | $68.40 | $38.86 |
| Baltimore area, MDMaryland | $69.99 | $39.89 |
| Rest of MarylandMaryland | $67.02 | $38.63 |
| Rest of MaineMaine | $62.88 | $37.07 |
| Southern Maine, MEMaine | $65.41 | $37.61 |
| Detroit, MIMichigan | $66.60 | $39.53 |
| Rest of MichiganMichigan | $63.65 | $38.03 |
| MinnesotaMinnesota | $66.08 | $37.21 |
| Metropolitan Kansas City, MOMissouri | $64.26 | $37.92 |
| Metropolitan St. Louis, MOMissouri | $64.77 | $38.06 |
| Rest of MissouriMissouri | $61.53 | $37.34 |
| MississippiMississippi | $61.02 | $36.87 |
| MontanaMontana | $66.46 | $38.41 |
| North CarolinaNorth Carolina | $63.37 | $37.20 |
| North DakotaNorth Dakota | $65.28 | $37.22 |
| NebraskaNebraska | $62.50 | $36.60 |
| New HampshireNew Hampshire | $67.67 | $38.46 |
| Northern New JerseyNew Jersey | $74.10 | $41.55 |
| Rest of New JerseyNew Jersey | $71.08 | $40.44 |
| New MexicoNew Mexico | $63.93 | $38.20 |
| NevadaNevada | $66.17 | $38.08 |
| NYC suburbs and Long Island, NYNew York | $76.74 | $43.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $71.56 | $40.84 |
| Queens, NYNew York | $75.66 | $42.49 |
| Rest of New YorkNew York | $64.10 | $37.45 |
| OhioOhio | $63.40 | $37.79 |
| OklahomaOklahoma | $62.23 | $37.18 |
| Portland, OROregon | $70.35 | $39.18 |
| Rest of OregonOregon | $65.73 | $37.79 |
| Metropolitan Philadelphia, PAPennsylvania | $68.83 | $39.62 |
| Rest of PennsylvaniaPennsylvania | $63.45 | $37.70 |
| Puerto RicoPuerto Rico | $66.83 | $38.46 |
| Rhode IslandRhode Island | $67.97 | $38.99 |
| South CarolinaSouth Carolina | $63.48 | $37.55 |
| South DakotaSouth Dakota | $65.14 | $37.08 |
| TennesseeTennessee | $62.32 | $36.81 |
| Austin, TXTexas | $68.35 | $38.67 |
| Beaumont, TXTexas | $63.14 | $37.61 |
| Brazoria, TXTexas | $65.94 | $38.14 |
| Dallas, TXTexas | $66.30 | $38.36 |
| Fort Worth, TXTexas | $65.98 | $38.31 |
| Galveston, TXTexas | $66.11 | $38.25 |
| Houston, TXTexas | $67.21 | $39.35 |
| Rest of TexasTexas | $64.47 | $37.84 |
| UtahUtah | $64.14 | $37.77 |
| VirginiaVirginia | $65.28 | $37.70 |
| Virgin Islands, VIUnited States Virgin Islands | $66.83 | $38.46 |
| VermontVermont | $65.12 | $37.35 |
| Rest of WashingtonWashington | $68.24 | $38.70 |
| King County, WAWashington | $75.59 | $41.17 |
| WisconsinWisconsin | $63.59 | $36.72 |
| West VirginiaWest Virginia | $62.69 | $38.31 |
| WyomingWyoming | $65.95 | $37.89 |
G0506 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.
$60.50
$82.40
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 | $82.40 | 1 |
| AL | $61.17 | 1 |
| AR | $60.50 | 1 |
| AZ | $65.08 | 1 |
| CA | $69.43–$84.38 | 29 |
| CO | $68.64 | 1 |
| CT | $70.20 | 1 |
| DC | $74.57 | 1 |
| DE | $65.99 | 1 |
| FL | $65.92–$70.98 | 3 |
| GA | $63.03–$67.52 | 2 |
| GU | $70.47 | 1 |
| HI | $70.47 | 1 |
| IA | $62.25 | 1 |
| ID | $62.58 | 1 |
| IL | $64.52–$69.44 | 4 |
| IN | $62.85 | 1 |
| KS | $62.07 | 1 |
| KY | $62.37 | 1 |
| LA | $62.31–$64.65 | 2 |
| MA | $68.40–$74.31 | 2 |
| MD | $67.02–$74.57 | 3 |
| ME | $62.88–$65.41 | 2 |
| MI | $63.65–$66.60 | 2 |
| MN | $66.08 | 1 |
| MO | $61.53–$64.77 | 3 |
| MS | $61.02 | 1 |
| MT | $66.46 | 1 |
| NC | $63.37 | 1 |
| ND | $65.28 | 1 |
| NE | $62.50 | 1 |
| NH | $67.67 | 1 |
| NJ | $71.08–$74.10 | 2 |
| NM | $63.93 | 1 |
| NV | $66.17 | 1 |
| NY | $64.10–$76.74 | 5 |
| OH | $63.40 | 1 |
| OK | $62.23 | 1 |
| OR | $65.73–$70.35 | 2 |
| PA | $63.45–$68.83 | 2 |
| PR | $66.83 | 1 |
| RI | $67.97 | 1 |
| SC | $63.48 | 1 |
| SD | $65.14 | 1 |
| TN | $62.32 | 1 |
| TX | $63.14–$68.35 | 8 |
| UT | $64.14 | 1 |
| VA | $65.28–$74.57 | 2 |
| VI | $66.83 | 1 |
| VT | $65.12 | 1 |
| WA | $68.24–$75.59 | 2 |
| WI | $63.59 | 1 |
| WV | $62.69 | 1 |
| WY | $65.95 | 1 |
How the G0506 rate is calculated
Each of G0506’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 · G0506
RVUs × geographic indexes × conversion factor
Work0.87
0.87 RVUs× 1.000 GPCI
Practice expense1.06
1.06 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.9900
Conversion factor
$33.4009
Medicare rate
$66.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,306
- Code
- G0506
- Physician work
- 0.87
- Practice expense
- 1.06
- Malpractice
- 0.06
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.87 | × 1.012 | 0.8804 |
| Practice expense | 1.06 | × 1.064 | 1.1278 |
| Malpractice | 0.06 | × 0.781 | 0.0469 |
| Total RVUs | 2.0551 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Colorado$68.64
Office: (0.87 × 1.012 + 1.06 × 1.064 + 0.06 × 0.781) × $33.4009 = $68.64
Facility: (0.87 × 1.012 + 0.22 × 1.064 + 0.06 × 0.781) × $33.4009 = $38.79
Payment rules and modifiers for G0506
The CMS indicators that decide how G0506 is paid alongside other services.
CMS payment indicators · G0506
CCM care planning, comprehensive assessment
| 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 G0506 has changed in Colorado
G0506 · Office / nonfacility
$68.64
Effective 2026-10-01
The base rate is $6.24 higher than on 2025-10-01, moving from $62.40 to $68.64 (10.0%).
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
$62.40changed to$68.64
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.96 changed to 1.06
- Malpractice RVU 0.05 changed to 0.06
- Work GPCI 1.008 changed to 1.012
- Practice expense GPCI 1.053 changed to 1.064
- Malpractice GPCI 0.827 changed to 0.781
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$64.14changed to$62.40
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.95 changed to 0.96
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$63.10changed to$64.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$63.27changed to$63.10
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.90 changed to 0.95
- Work GPCI 1.005 changed to 1.008
- Practice expense GPCI 1.050 changed to 1.053
- Malpractice GPCI 0.797 changed to 0.827
January 1, 2023
RVU23A
$63.52changed to$63.27
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.87 changed to 0.90
- Malpractice RVU 0.07 changed to 0.06
- Work GPCI 1.001 changed to 1.005
- Practice expense GPCI 1.047 changed to 1.050
- Malpractice GPCI 0.767 changed to 0.797
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$62.78changed to$63.52
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.85 changed to 0.87
- Malpractice RVU 0.05 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$64.30changed to$62.78
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.83 changed to 0.85
- Malpractice RVU 0.06 changed to 0.05
- Work GPCI 1.000 changed to 1.001
- Practice expense GPCI 1.033 changed to 1.047
- Malpractice GPCI 0.905 changed to 0.767
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$64.06changed to$64.30
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 1.018 changed to 1.033
- Malpractice GPCI 1.042 changed to 0.905
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$65.09changed to$64.06
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.86 changed to 0.83
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$64.48changed to$65.09
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.85 changed to 0.86
- Practice expense GPCI 1.015 changed to 1.018
- Malpractice GPCI 1.066 changed to 1.042
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$64.48
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 | $68.64 | $38.79 | RVU26D |
| 2026-07-01 | $68.64 | $38.79 | RVU26C |
| 2026-04-01 | $68.64 | $38.79 | RVU26B |
| 2026-01-01 | $68.64 | $38.79 | RVU26A |
| 2025-10-01 | $62.40 | $42.31 | RVU25D |
| 2025-07-01 | $62.40 | $42.31 | RVU25C |
| 2025-04-01 | $62.40 | $42.31 | RVU25B |
| 2025-01-01 | $62.40 | $42.31 | RVU25A |
| 2024-10-01 | $64.14 | $44.16 | RVU24D |
| 2024-07-01 | $64.14 | $44.16 | RVU24C |
| 2024-04-01 | $64.14 | $44.16 | RVU24B |
| 2024-03-09 | $64.14 | $44.16 | RVU24AR |
| 2024-01-01 | $63.10 | $43.44 | RVU24A |
| 2023-10-01 | $63.27 | $44.41 | RVU23D |
| 2023-07-01 | $63.27 | $44.41 | RVU23C |
| 2023-04-01 | $63.27 | $44.41 | RVU23B |
| 2023-01-01 | $63.27 | $44.41 | RVU23A |
| 2022-10-01 | $63.52 | $45.40 | RVU22D |
| 2022-07-01 | $63.52 | $45.40 | RVU22C |
| 2022-04-01 | $63.52 | $45.40 | RVU22B |
| 2022-01-01 | $63.52 | $45.40 | RVU22A |
| 2021-10-01 | $62.78 | $45.24 | RVU21D |
| 2021-07-01 | $62.78 | $45.24 | RVU21C |
| 2021-04-01 | $62.78 | $45.24 | RVU21B |
| 2021-01-01 | $62.78 | $45.24 | RVU21A |
| 2020-10-01 | $64.30 | $46.78 | RVU20D |
| 2020-07-01 | $64.30 | $46.78 | RVU20C |
| 2020-04-01 | $64.30 | $46.78 | RVU20B |
| 2020-01-01 | $64.30 | $46.78 | RVU20A |
| 2019-10-01 | $64.06 | $46.81 | RVU19D |
| 2019-07-01 | $64.06 | $46.81 | RVU19C |
| 2019-04-01 | $64.06 | $46.81 | RVU19B |
| 2019-01-01 | $64.06 | $46.81 | RVU19A |
| 2018-10-01 | $65.09 | $46.76 | RVU18D |
| 2018-07-01 | $65.09 | $46.76 | RVU18C |
| 2018-04-01 | $65.09 | $46.76 | RVU18B |
| 2018-01-01 | $65.09 | $46.76 | RVU18AR1 |
| 2017-10-01 | $64.48 | $46.63 | RVU17D |
| 2017-07-01 | $64.48 | $46.63 | RVU17C |
| 2017-04-01 | $64.48 | $46.63 | RVU17B |
| 2017-01-01 | $64.48 | $46.63 | 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 Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
G0506 billing questions
When should G0506 be chosen instead of reporting only the E/M service?
Use it when the physician or qualified health professional performs extensive chronic care assessment and planning beyond the work ordinarily included in the E/M service. Routine discussion of chronic conditions during an office visit alone does not establish that additional work.
What primary service must accompany G0506?
G0506 is an add-on and must be reported with a primary E/M procedure. CMS pays it within that primary procedure’s global period.
Does G0506 represent the monthly CCM service?
No. It represents comprehensive assessment and care planning, not recurring monthly management. A monthly CCM code requires its own qualifying work and documentation.
What documentation supports G0506?
Document the chronic care needs assessed, the individualized planning performed, and why that work went beyond the associated E/M service. A care plan should reflect the patient’s conditions and care needs rather than a routine problem list alone.
Can G0506 be reported with an office E/M code?
Yes, it is reported as an add-on to a qualifying primary E/M service. Examples include office E/M codes 99214 and 99215; the record must support the additional comprehensive planning work.
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
Fee sheets · Coming soon
Put G0506 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist