HCPCS G0024: Illness navigationMedicare rate & RVUs
Reports each additional 30 minutes of principal illness navigation in a calendar month for a patient needing focused support with a serious, high-risk condition.
Medicare pays $54.44 for G0024 nationally in the office and $31.06 in a hospital or facility. Local office rates run $49.49–$69.23.
Medicare rate · G0024
Illness navigation
Swap in your local Medicare rate.
- Work RVUs
- 0.7
- Total RVUs
- 1.63
- Global days
- ZZZ
National rate · 2026
$54.44
Office setting, before claim adjustments.
See every locality for G0024 → · Billed by an NP, PA or therapist? →
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 10 sections
What G0024 covers
G0024 covers additional principal illness navigation work beyond the monthly base service. Navigation may include helping a patient with a serious, high-risk illness coordinate care, connect with appropriate services, and address barriers to following the care plan. The work is typically performed by trained or certified auxiliary personnel under the direction of the physician or other qualified health care professional who oversees the patient’s care. It is an add-on measured by time in the calendar month, not a separate visit or a new navigation episode.
Report G0024 only with the primary principal illness navigation service, G0023, when documentation supports the additional time. Record the navigation activities, the personnel performing them, and the time attributable to the service during that month. CMS identifies this as an add-on code paid within the primary procedure’s global period, so it is not reported independently of that primary service.
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.
Where G0024 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$49.49 to $69.23
109 of 109 payment localities
G0024 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$49.49
$67.29
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 | $67.29 | 1 |
| AL | $50.04 | 1 |
| AR | $49.49 | 1 |
| AZ | $53.29 | 1 |
| CA | $56.89–$69.23 | 29 |
| CO | $56.24 | 1 |
| CT | $57.53 | 1 |
| DC | $61.13 | 1 |
| DE | $54.04 | 1 |
| FL | $53.99–$58.20 | 3 |
| GA | $51.59–$55.32 | 2 |
| GU | $57.77 | 1 |
| HI | $57.77 | 1 |
| IA | $50.94 | 1 |
| ID | $51.21 | 1 |
| IL | $52.83–$56.92 | 4 |
| IN | $51.44 | 1 |
| KS | $50.79 | 1 |
| KY | $51.04 | 1 |
| LA | $50.99–$52.94 | 2 |
| MA | $56.04–$60.92 | 2 |
| MD | $54.89–$61.13 | 3 |
| ME | $51.46–$53.56 | 2 |
| MI | $52.10–$54.56 | 2 |
| MN | $54.12 | 1 |
| MO | $50.34–$53.04 | 3 |
| MS | $49.92 | 1 |
| MT | $54.44 | 1 |
| NC | $51.87 | 1 |
| ND | $53.45 | 1 |
| NE | $51.14 | 1 |
| NH | $55.44 | 1 |
| NJ | $58.24–$60.73 | 2 |
| NM | $52.34 | 1 |
| NV | $54.19 | 1 |
| NY | $52.48–$62.93 | 5 |
| OH | $51.90 | 1 |
| OK | $50.93 | 1 |
| OR | $53.83–$57.65 | 2 |
| PA | $51.94–$56.39 | 2 |
| PR | $54.74 | 1 |
| RI | $55.68 | 1 |
| SC | $51.96 | 1 |
| SD | $53.33 | 1 |
| TN | $51.00 | 1 |
| TX | $51.68–$56.00 | 8 |
| UT | $52.51 | 1 |
| VA | $53.45–$61.13 | 2 |
| VI | $54.74 | 1 |
| VT | $53.32 | 1 |
| WA | $55.91–$61.98 | 2 |
| WI | $52.05 | 1 |
| WV | $51.31 | 1 |
| WY | $54.01 | 1 |
How the G0024 rate is calculated
Each of G0024’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 · G0024
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.70Practice expense 0.88Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0024
The CMS indicators that decide how G0024 is paid alongside other services.
CMS payment indicators · G0024
Illness navigation
| 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. |
G0024 compared with similar codes
Compare codes
G0024 vs G0023 vs G0019 vs G0022: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0023Illness navigation
- G0023 reports the base monthly principal illness navigation service; G0024 reports additional time and cannot stand alone.
- G0019Community health integration
- G0019 is the base community health integration service focused on health-related social needs; G0024 adds time to principal illness navigation.
- G0022Community health integration
- G0022 adds time to community health integration when reported with G0019; G0024 adds time to principal illness navigation when reported with G0023.
G0024 billing questions
Can G0024 be billed by itself?
No. G0024 is an add-on and must be reported with the primary principal illness navigation service, G0023.
When should G0024 be reported instead of G0023?
The codes are not alternatives: G0023 reports the monthly base service, while G0024 reports additional navigation time beyond it.
What documentation supports G0024?
Document the additional navigation activities, who performed them, and the time attributable to those activities during the calendar month.
Is G0024 reported per visit?
No. It represents additional time for principal illness navigation during the calendar month, rather than a separate visit.
How does the global-period rule affect G0024?
CMS treats G0024 as an add-on paid within the primary procedure’s global period. Report it with G0023, not as a standalone service.
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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