HCPCS G0140: Peer navigationMedicare rate & RVUs
Reports monthly principal illness navigation delivered with peer support to help a patient with a serious, high-risk condition manage care and access resources.
Medicare pays $89.18 for G0140 nationally in the office and $44.42 in a hospital or facility. Local office rates run $80.51–$115.39.
Medicare rate · G0140
Peer navigation
- Work RVUs
- 1
- Total RVUs
- 2.67
- Global days
- XXX
National rate · 2026
$89.18
Office setting, before claim adjustments.
See every locality for G0140 →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 G0140 covers
G0140 covers principal illness navigation furnished with peer support for a patient facing a serious, high-risk illness. A peer support specialist with relevant lived experience and appropriate training helps the patient navigate care, connect with needed services, and build skills for managing the illness. The work may include helping a patient with cancer understand care pathways or connect with community resources. The service is part of the patient’s care plan and is billed by the practitioner responsible for the navigation service.
Report G0140 once the qualifying peer-support navigation work reaches 60 minutes in the calendar month. Document the serious, high-risk condition, the navigation and peer-support activities, the specialist’s role, and the time accumulated during that month. G0146 is the add-on for each additional 30 minutes of peer-support navigation; it is paired with G0140 when the additional time is furnished and supported. G0023 and G0024 describe the corresponding principal illness navigation pathway without the peer-support designation.
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 G0140 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
$80.51 to $115.39
109 of 109 payment localities
G0140 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.
$80.51
$108.30
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 | $108.30 | 1 |
| AL | $81.49 | 1 |
| AR | $80.51 | 1 |
| AZ | $87.19 | 1 |
| CA | $93.79–$115.39 | 29 |
| CO | $92.49 | 1 |
| CT | $94.45 | 1 |
| DC | $100.76 | 1 |
| DE | $88.47 | 1 |
| FL | $88.01–$94.95 | 3 |
| GA | $83.86–$90.61 | 2 |
| GU | $95.52 | 1 |
| HI | $95.52 | 1 |
| IA | $83.23 | 1 |
| ID | $83.67 | 1 |
| IL | $85.85–$92.71 | 4 |
| IN | $84.08 | 1 |
| KS | $82.89 | 1 |
| KY | $83.05 | 1 |
| LA | $82.94–$86.35 | 2 |
| MA | $92.07–$100.66 | 2 |
| MD | $89.96–$100.76 | 3 |
| ME | $84.02–$87.84 | 2 |
| MI | $84.83–$88.91 | 2 |
| MN | $89.08 | 1 |
| MO | $81.74–$86.62 | 3 |
| MS | $81.14 | 1 |
| MT | $89.18 | 1 |
| NC | $84.76 | 1 |
| ND | $87.79 | 1 |
| NE | $83.61 | 1 |
| NH | $91.08 | 1 |
| NJ | $95.66–$99.99 | 2 |
| NM | $85.21 | 1 |
| NV | $88.84 | 1 |
| NY | $85.81–$103.42 | 5 |
| OH | $84.55 | 1 |
| OK | $82.94 | 1 |
| OR | $88.27–$95.05 | 2 |
| PA | $84.67–$92.42 | 2 |
| PR | $89.73 | 1 |
| RI | $91.33 | 1 |
| SC | $84.77 | 1 |
| SD | $87.63 | 1 |
| TN | $83.23 | 1 |
| TX | $84.20–$92.08 | 8 |
| UT | $85.74 | 1 |
| VA | $87.58–$100.76 | 2 |
| VI | $89.73 | 1 |
| VT | $87.49 | 1 |
| WA | $91.89–$102.55 | 2 |
| WI | $85.32 | 1 |
| WV | $83.19 | 1 |
| WY | $88.57 | 1 |
How the G0140 rate is calculated
Each of G0140’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 · G0140
RVUs × geographic indexes × conversion factor
Work1.00
1.00 RVUs× 1.000 GPCI
Practice expense1.60
1.60 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
2.6700
Conversion factor
$33.4009
Medicare rate
$89.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0140
G0140 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 · G0140
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$89.18
- Non-facility (office)
- $89.18
- Facility
- $44.42
Higher because the practice carries its own overhead.
G0140 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G0023Illness navigation
- Choose G0140 when the navigation includes peer support; G0023 represents the monthly principal illness navigation pathway without that designation.
- G0146Peer navigation
- G0140 represents the initial 60 minutes per calendar month. G0146 reports each additional 30 minutes of peer-support navigation.
- G0136SDOH assessment
- G0136 is a social-determinants-of-health risk assessment. G0140 covers ongoing principal illness navigation with peer support, not the assessment itself.
G0140 billing questions
How is G0140 different from G0023?
G0140 is for principal illness navigation furnished with peer support. G0023 is the 60-minute monthly navigation code without the peer-support designation.
When can G0146 be reported with G0140?
Report G0146 for each additional 30 minutes of peer-support navigation beyond the 60 minutes represented by G0140. Document the additional time and work.
Does the 60 minutes need to occur in one visit?
No. The code is measured per calendar month, so document the navigation work and cumulative time across the month.
What documentation supports G0140?
Record the serious, high-risk illness, the patient’s navigation needs, the peer-support activities, the specialist’s role, and the minutes furnished during the calendar month.
Is G0140 the same as a social-needs risk assessment?
No. G0140 represents monthly navigation with peer support; G0136 describes a separate assessment of social determinants of health.
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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