No office rate
Both represent inpatient telehealth follow-up consultations. G0406 is the shorter service level; G0407 is typically 25 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0407 Inpatient follow-up Medicare reimbursement rates
Reports a physician’s subsequent inpatient telehealth consultation at the 25-minute level for reassessing a hospitalized patient after an earlier consultation. Compare G0407 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G0407?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where G0407 pays more and less
Telehealth consultation
About G0407: Inpatient telehealth follow-up, 25 minutes
Reports a physician’s subsequent inpatient telehealth consultation at the 25-minute level for reassessing a hospitalized patient after an earlier consultation.
G0407 represents a physician’s follow-up consultation with a hospitalized patient by telehealth, at a service level typically involving about 25 minutes. A consulting physician, often a specialist, may reassess the patient’s course, review new clinical information, and discuss recommendations with the patient and inpatient team. The code is for a subsequent consultation, not the initial inpatient or emergency department teleconsultation.
Select this level when the documented follow-up service supports the 25-minute level. The record should establish that the encounter was a telehealth follow-up, describe the clinical reassessment and recommendations, and support the time associated with the service. CMS assigns the service a physician fee schedule valuation. The code represents the follow-up consultation as a service; document the work performed rather than treating each discussion or review as a separate unit.
Where the value comes from
- Work RVU1.39 · 73%
- Practice expense (office) RVU0.40 · 21%
- Malpractice RVU0.12 · 6%
26.5K
Medicare services in 2024 · #1022 by national volume
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.
G0407 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Both represent inpatient telehealth follow-up consultations. G0408 is the longer service level; G0407 is typically 25 minutes.
No office rate
G0425 is an initial inpatient or emergency department teleconsultation. G0407 is for a subsequent inpatient follow-up consultation.
See how rates vary across the country
G0407 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare G0407 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $60.39 |
| Alaska* | Office Unavailable | Facility $86.08 |
| Arizona | Office Unavailable | Facility $62.80 |
| Arkansas | Office Unavailable | Facility $59.97 |
| Atlanta | Office Unavailable | Facility $64.95 |
| Austin | Office Unavailable | Facility $64.21 |
| Bakersfield | Office Unavailable | Facility $64.39 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $66.46 |
| Beaumont | Office Unavailable | Facility $62.31 |
| Brazoria | Office Unavailable | Facility $63.17 |
| Chicago | Office Unavailable | Facility $69.38 |
| Chico | Office Unavailable | Facility $64.01 |
| Colorado | Office Unavailable | Facility $64.33 |
| Connecticut | Office Unavailable | Facility $66.59 |
| Dallas | Office Unavailable | Facility $63.59 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $69.13 |
| Delaware | Office Unavailable | Facility $63.46 |
| Detroit | Office Unavailable | Facility $66.08 |
| East St. Louis | Office Unavailable | Facility $66.79 |
| El Centro | Office Unavailable | Facility $64.03 |
| Fort Lauderdale | Office Unavailable | Facility $67.21 |
| Fort Worth | Office Unavailable | Facility $63.51 |
| Fresno | Office Unavailable | Facility $64.01 |
| Galveston | Office Unavailable | Facility $63.38 |
| Hanford-Corcoran | Office Unavailable | Facility $64.01 |
| Hawaii, Guam | Office Unavailable | Facility $63.94 |
| Houston | Office Unavailable | Facility $65.58 |
| Idaho | Office Unavailable | Facility $60.61 |
| Indiana | Office Unavailable | Facility $60.76 |
| Iowa | Office Unavailable | Facility $60.24 |
| Kansas | Office Unavailable | Facility $60.53 |
| Kentucky | Office Unavailable | Facility $61.97 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $66.80 |
| Madera | Office Unavailable | Facility $64.01 |
| Manhattan | Office Unavailable | Facility $71.28 |
| Merced | Office Unavailable | Facility $64.01 |
| Metropolitan Boston | Office Unavailable | Facility $67.85 |
| Metropolitan Kansas City | Office Unavailable | Facility $62.89 |
| Metropolitan Philadelphia | Office Unavailable | Facility $65.95 |
| Metropolitan St. Louis | Office Unavailable | Facility $63.16 |
| Miami | Office Unavailable | Facility $70.47 |
| Minnesota | Office Unavailable | Facility $61.36 |
| Mississippi | Office Unavailable | Facility $60.89 |
| Modesto | Office Unavailable | Facility $64.01 |
| Montana** | Office Unavailable | Facility $63.79 |
| Napa | Office Unavailable | Facility $69.00 |
| Nebraska | Office Unavailable | Facility $60.27 |
| Nevada** | Office Unavailable | Facility $63.14 |
| New Hampshire | Office Unavailable | Facility $63.84 |
| New Mexico | Office Unavailable | Facility $63.49 |
| New Orleans | Office Unavailable | Facility $63.55 |
| North Carolina | Office Unavailable | Facility $61.45 |
| North Dakota** | Office Unavailable | Facility $61.41 |
| Northern Nj | Office Unavailable | Facility $69.13 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $72.73 |
| Ohio | Office Unavailable | Facility $62.67 |
| Oklahoma | Office Unavailable | Facility $61.47 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $66.02 |
| Portland | Office Unavailable | Facility $65.00 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $68.00 |
| Puerto Rico | Office Unavailable | Facility $63.88 |
| Queens | Office Unavailable | Facility $70.97 |
| Redding | Office Unavailable | Facility $64.01 |
| Rest Of California | Office Unavailable | Facility $64.01 |
| Rest Of Florida | Office Unavailable | Facility $65.22 |
| Rest Of Georgia | Office Unavailable | Facility $63.12 |
| Rest Of Illinois | Office Unavailable | Facility $64.89 |
| Rest Of Louisiana | Office Unavailable | Facility $62.09 |
| Rest Of Maine | Office Unavailable | Facility $61.21 |
| Rest Of Maryland | Office Unavailable | Facility $64.09 |
| Rest Of Massachusetts | Office Unavailable | Facility $64.43 |
| Rest Of Michigan | Office Unavailable | Facility $63.15 |
| Rest Of Missouri | Office Unavailable | Facility $61.85 |
| Rest Of New Jersey | Office Unavailable | Facility $67.27 |
| Rest Of New York | Office Unavailable | Facility $61.94 |
| Rest Of Oregon | Office Unavailable | Facility $62.55 |
| Rest Of Pennsylvania | Office Unavailable | Facility $62.48 |
| Rest Of Texas | Office Unavailable | Facility $62.73 |
| Rest Of Washington | Office Unavailable | Facility $64.15 |
| Rhode Island | Office Unavailable | Facility $64.69 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $65.32 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $65.79 |
| Salinas | Office Unavailable | Facility $65.50 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $65.97 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $71.52 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $71.38 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $72.95 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $72.39 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $64.58 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $65.78 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $65.45 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $66.37 |
| Seattle (King Cnty) | Office Unavailable | Facility $68.42 |
| South Carolina | Office Unavailable | Facility $62.18 |
| South Dakota** | Office Unavailable | Facility $61.13 |
| Southern Maine | Office Unavailable | Facility $62.20 |
| Stockton | Office Unavailable | Facility $64.01 |
| Suburban Chicago | Office Unavailable | Facility $67.58 |
| Tennessee | Office Unavailable | Facility $60.72 |
| Utah | Office Unavailable | Facility $62.59 |
| Vallejo | Office Unavailable | Facility $68.80 |
| Vermont | Office Unavailable | Facility $61.68 |
| Virgin Islands | Office Unavailable | Facility $63.88 |
| Virginia | Office Unavailable | Facility $62.39 |
| Visalia | Office Unavailable | Facility $64.01 |
| West Virginia | Office Unavailable | Facility $63.77 |
| Wisconsin | Office Unavailable | Facility $60.46 |
| Wyoming** | Office Unavailable | Facility $62.75 |
| Yuba City | Office Unavailable | Facility $64.01 |
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G0407 billing questions
When should G0407 be used instead of G0425, G0426, or G0427?
G0407 is for a follow-up inpatient telehealth consultation. G0425, G0426, and G0427 describe initial inpatient or emergency department teleconsultations at different service levels.
How does G0407 differ from G0406 and G0408?
These are follow-up inpatient telehealth consultation levels. G0406 is the shorter level, G0407 is typically 25 minutes, and G0408 is the longer level.
What documentation supports G0407?
Document the follow-up nature of the consultation, the patient’s clinical status and reassessment, recommendations, telehealth delivery, and time supporting this level.
Is G0407 reported in 25-minute units?
The code identifies a follow-up service level typically involving 25 minutes; it is not a code for each separate 25-minute increment.
Can G0407 represent the first inpatient telehealth consultation?
No. Use an initial inpatient or emergency department teleconsultation code when the service is the initial consultation; G0407 identifies follow-up care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,233G0404,,Ekg tracing for initial prev,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,234G0405,,Ekg interpret & report preve,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,235G0406,,Inpt/tele follow up 15,A,,0.76,0.24,NA,0.24,,0.08,1.08,1.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,236G0407,,Inpt/tele follow up 25,A,,1.39,0.40,NA,0.40,,0.12,1.91,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,237G0408,,Inpt/tele follow up 35,A,,2.00,0.62,NA,0.62,,0.18,2.80,2.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,238G0409,,Corf related serv 15 mins ea,R,,0.00,0.71,,0.71,NA,0.01,0.72,0.72,9,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,239G0410,,Grp psych php/iop 45-50,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00