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HCPCS code G0506: CCM care planning, comprehensive assessment2026 Medicare rate & RVUs in New Mexico

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.

CMS RVU26DEffective Oct 1, 2026One payment locality163.7K Medicare services in 2024

In New Mexico, Medicare pays $63.93 for G0506 in the office and $38.20 when it’s performed in a hospital or facility.

$63.93Office (non-facility)
$38.20Hospital or facility
−3.8%vs the national office rate ($66.47)

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.

We’ll open G0506 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What G0506 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 New Mexico 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. New Mexico pays $63.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0506 in New Mexico vs other payment areas
  1. New Mexico · this page$63.93
  2. Los Angeles, CA · California$73.46+$9.53
  3. Washington, DC area · District of Columbia$74.57+$10.64
  4. Miami, FL · Florida$70.98+$7.05
  5. Chicago, IL · Illinois$69.44+$5.51
  6. Manhattan, NY · New York$75.24+$11.31
  7. Alaska · Alaska$82.40+$18.47

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

G0506 in every other Medicare payment locality
Payment localityOfficeFacility
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

G0506 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
G0506 office rate range by state
State / territoryOffice rate rangeLocalities
AK$82.401
AL$61.171
AR$60.501
AZ$65.081
CA$69.43–$84.3829
CO$68.641
CT$70.201
DC$74.571
DE$65.991
FL$65.92–$70.983
GA$63.03–$67.522
GU$70.471
HI$70.471
IA$62.251
ID$62.581
IL$64.52–$69.444
IN$62.851
KS$62.071
KY$62.371
LA$62.31–$64.652
MA$68.40–$74.312
MD$67.02–$74.573
ME$62.88–$65.412
MI$63.65–$66.602
MN$66.081
MO$61.53–$64.773
MS$61.021
MT$66.461
NC$63.371
ND$65.281
NE$62.501
NH$67.671
NJ$71.08–$74.102
NM$63.931
NV$66.171
NY$64.10–$76.745
OH$63.401
OK$62.231
OR$65.73–$70.352
PA$63.45–$68.832
PR$66.831
RI$67.971
SC$63.481
SD$65.141
TN$62.321
TX$63.14–$68.358
UT$64.141
VA$65.28–$74.572
VI$66.831
VT$65.121
WA$68.24–$75.592
WI$63.591
WV$62.691
WY$65.951

See G0506 in every payment locality

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

Office or facility?

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 New Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for G0506 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.87× 1.0000.8700
Practice expense1.06× 0.9170.9720
Malpractice0.06× 1.2010.0721
Total RVUs1.9141
Conversion factor× 33.4009

Office rate, New Mexico$63.93

Office: (0.87 × 1 + 1.06 × 0.917 + 0.06 × 1.201) × $33.4009 = $63.93

Facility: (0.87 × 1 + 0.22 × 0.917 + 0.06 × 1.201) × $33.4009 = $38.20

Open G0506 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to G0506

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to G0506
CodeHow it relatesOffice range, New Mexico
Primary code
99202New patient visit, straightforward MDM or 15 minutesA new-patient office E/M service that may serve as the primary procedure.$72.16
99214Office visit, established patient, moderate complexityAn established-patient office E/M service that may serve as the primary procedure.$131.00
99215Office visit, established patient, high complexityA higher-level established-patient office E/M service that may serve as the primary procedure.$186.18

How G0506 has changed in New Mexico

G0506 · Office / nonfacility

$63.93

Effective 2026-10-01

The base rate is $5.70 higher than on 2025-10-01, moving from $58.23 to $63.93 (9.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $58.23changed to$63.93

    • 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
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $60.01changed to$58.23

    • 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.

  3. March 9, 2024

    RVU24AR

    $59.04changed to$60.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $59.37changed to$59.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.90 changed to 0.95
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $59.91changed to$59.37

    • 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
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $58.97changed to$59.91

    • 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.

  7. January 1, 2021

    RVU21A

    $61.21changed to$58.97

    • 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
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $61.60changed to$61.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $62.53changed to$61.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.86 changed to 0.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $61.88changed to$62.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.85 changed to 0.86
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$61.88

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$63.93$38.20RVU26D
2026-07-01$63.93$38.20RVU26C
2026-04-01$63.93$38.20RVU26B
2026-01-01$63.93$38.20RVU26A
2025-10-01$58.23$40.90RVU25D
2025-07-01$58.23$40.90RVU25C
2025-04-01$58.23$40.90RVU25B
2025-01-01$58.23$40.90RVU25A
2024-10-01$60.01$42.79RVU24D
2024-07-01$60.01$42.79RVU24C
2024-04-01$60.01$42.79RVU24B
2024-03-09$60.01$42.79RVU24AR
2024-01-01$59.04$42.09RVU24A
2023-10-01$59.37$43.17RVU23D
2023-07-01$59.37$43.17RVU23C
2023-04-01$59.37$43.17RVU23B
2023-01-01$59.37$43.17RVU23A
2022-10-01$59.91$44.40RVU22D
2022-07-01$59.91$44.40RVU22C
2022-04-01$59.91$44.40RVU22B
2022-01-01$59.91$44.40RVU22A
2021-10-01$58.97$43.96RVU21D
2021-07-01$58.97$43.96RVU21C
2021-04-01$58.97$43.96RVU21B
2021-01-01$58.97$43.96RVU21A
2020-10-01$61.21$45.81RVU20D
2020-07-01$61.21$45.81RVU20C
2020-04-01$61.21$45.81RVU20B
2020-01-01$61.21$45.81RVU20A
2019-10-01$61.60$46.00RVU19D
2019-07-01$61.60$46.00RVU19C
2019-04-01$61.60$46.00RVU19B
2019-01-01$61.60$46.00RVU19A
2018-10-01$62.53$45.95RVU18D
2018-07-01$62.53$45.95RVU18C
2018-04-01$62.53$45.95RVU18B
2018-01-01$62.53$45.95RVU18AR1
2017-10-01$61.88$45.70RVU17D
2017-07-01$61.88$45.70RVU17C
2017-04-01$61.88$45.70RVU17B
2017-01-01$61.88$45.70RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price G0506 for an earlier date of service

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

Browse all communities in New Mexico

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
RVUs for G0506PPRRVU2026_Oct_nonQPP.csv, line 15,306 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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