HCPCS G0146: Peer navigationMedicare rate & RVUs
Reports each additional 30 minutes of clinician-directed peer navigation in a calendar month for a patient with a serious, high-risk illness.
Medicare pays $53.44 for G0146 nationally in the office and $30.39 in a hospital or facility. Local office rates run $48.74–$68.09.
Medicare rate · G0146
Peer navigation
Swap in your local Medicare rate.
- Work RVUs
- 0.7
- Total RVUs
- 1.60
- Global days
- ZZZ
National rate · 2026
$53.44
Office setting, before claim adjustments.
See every locality for G0146 → · 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 G0146 covers
G0146 covers additional time spent providing principal illness navigation through peer support. A physician or other qualified health care professional directs the service, which is delivered by certified or trained auxiliary personnel. It supports patients with a serious, high-risk illness, such as a condition that threatens hospitalization, functional decline, or death. Peer navigators help the patient engage with the care plan and address barriers to care; the work may involve direct patient contact and coordination related to the illness.
Report G0146 for each additional 30 minutes of qualifying peer-navigation service in the calendar month, after the primary service represented by G0140. It is an add-on and cannot be billed alone; CMS pays it within the primary procedure's global period. Documentation should identify the patient's illness-related navigation needs, the peer-support work performed, the personnel providing it, and the time attributable to the additional service. The record should also support the relationship of the work to the patient's care plan.
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 G0146 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
$48.74 to $68.09
109 of 109 payment localities
G0146 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.
$48.74
$66.40
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 | $66.40 | 1 |
| AL | $49.27 | 1 |
| AR | $48.74 | 1 |
| AZ | $52.36 | 1 |
| CA | $55.98–$68.09 | 29 |
| CO | $55.27 | 1 |
| CT | $56.40 | 1 |
| DC | $59.97 | 1 |
| DE | $53.08 | 1 |
| FL | $52.85–$56.66 | 3 |
| GA | $50.60–$54.24 | 2 |
| GU | $56.81 | 1 |
| HI | $56.81 | 1 |
| IA | $50.19 | 1 |
| ID | $50.44 | 1 |
| IL | $51.69–$55.48 | 4 |
| IN | $50.66 | 1 |
| KS | $50.02 | 1 |
| KY | $50.14 | 1 |
| LA | $50.08–$51.93 | 2 |
| MA | $55.07–$59.83 | 2 |
| MD | $53.91–$59.97 | 3 |
| ME | $50.64–$52.69 | 2 |
| MI | $51.11–$53.35 | 2 |
| MN | $53.33 | 1 |
| MO | $49.44–$52.07 | 3 |
| MS | $49.10 | 1 |
| MT | $53.44 | 1 |
| NC | $51.03 | 1 |
| ND | $52.65 | 1 |
| NE | $50.40 | 1 |
| NH | $54.45 | 1 |
| NJ | $57.15–$59.60 | 2 |
| NM | $51.33 | 1 |
| NV | $53.25 | 1 |
| NY | $51.61–$61.51 | 5 |
| OH | $50.95 | 1 |
| OK | $50.07 | 1 |
| OR | $52.93–$56.66 | 2 |
| PA | $51.01–$55.30 | 2 |
| PR | $53.74 | 1 |
| RI | $54.69 | 1 |
| SC | $51.06 | 1 |
| SD | $52.55 | 1 |
| TN | $50.21 | 1 |
| TX | $50.76–$55.00 | 8 |
| UT | $51.58 | 1 |
| VA | $52.56–$59.97 | 2 |
| VI | $53.74 | 1 |
| VT | $52.49 | 1 |
| WA | $54.95–$60.89 | 2 |
| WI | $51.31 | 1 |
| WV | $50.25 | 1 |
| WY | $53.09 | 1 |
How the G0146 rate is calculated
Each of G0146’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 · G0146
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.70Practice expense 0.86Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0146
The CMS indicators that decide how G0146 is paid alongside other services.
CMS payment indicators · G0146
Peer 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. |
G0146 compared with similar codes
Compare codes
G0146 vs G0140 vs G0024 vs G0023: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0140Peer navigation
- G0140 represents the initial 60 minutes of monthly peer navigation; G0146 adds each further 30 minutes and is not reported alone.
- G0024Illness navigation
- G0024 reports additional time for principal illness navigation without the peer-support designation. Use G0146 for additional time furnished as peer support.
- G0023Illness navigation
- G0023 is the primary principal illness navigation service without the peer-support designation. G0146 is an add-on for additional peer-navigation time, paired with G0140.
G0146 billing questions
Can G0146 be billed by itself?
No. It is an add-on for additional peer-navigation time and must be billed with the primary service, G0140.
How does G0146 differ from G0140?
G0140 represents the initial 60 minutes of monthly peer navigation. G0146 reports each additional 30 minutes in that calendar month.
Is G0146 used for non-peer principal illness navigation?
No. G0146 is for additional navigation delivered through peer support; G0024 is the additional-time code for principal illness navigation services without the peer-support designation.
What time should the record support?
Document the additional peer-navigation time furnished during the calendar month, along with the work performed and its connection to the patient's care plan.
What should the documentation say about the patient?
It should describe the serious, high-risk illness and the patient's navigation needs, and identify the peer-support activities performed by the auxiliary personnel under clinician direction.
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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