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HCPCS G0408: Inpatient follow-upMedicare rate & RVUs

G0408 reports a physician’s follow-up inpatient telehealth consultation at the 35-minute level, when reassessing a hospitalized patient and updating recommendations.

CMS RVU26DEffective Oct 1, 2026109 payment localities31.6K Medicare services in 2024

Medicare pays $93.52 for G0408 nationally in a facility.

Medicare rate · G0408

Inpatient follow-up

Swap in your local Medicare rate.

Work RVUs
2
Total RVUs
2.80
Global days
XXX

National rate · 2026

$93.52

Facility setting, before claim adjustments.

See every locality for G0408 → · 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
  1. Medicare rate
  2. What G0408 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What G0408 covers

G0408 represents a physician’s follow-up consultation with an inpatient through telehealth, at the level typically associated with 35 minutes. A consulting physician, often a specialist who has already evaluated the patient, may review the patient’s interval course, discuss new results, reassess the clinical problem, and provide updated recommendations to the patient and treating team. The service is for follow-up care during an inpatient stay, not the initial telehealth consultation.

Choose G0408 when the documented follow-up service supports this level rather than the shorter G0406 or G0407 levels. The record should show that the encounter was a follow-up, the clinical issues addressed, the physician’s assessment and recommendations, and time supporting the selected level. CMS prices the service under the physician fee schedule. G0408 identifies one follow-up service at this level; it is not a code for separate 35-minute increments.

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 G0408 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G0408 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$88.32
Alaska*Unavailable$125.57
ArizonaUnavailable$92.01
ArkansasUnavailable$87.69
AtlantaUnavailable$95.26
AustinUnavailable$94.17
BakersfieldUnavailable$94.43
Baltimore/Surr. CntysUnavailable$97.53
BeaumontUnavailable$91.23
BrazoriaUnavailable$92.55

G0408 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.

View every state and territory as a table
G0408 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the G0408 rate is calculated

Each of G0408’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 · G0408

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.00Practice expense 0.62Malpractice 0.18

2.8000 adjusted RVUs×$33.4009 conversion factor=$93.52

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for G0408

G0408 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 · G0408

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

Non-facility (office) rate · national

—

G0408 isn’t priced in this setting.

G0408 compared with similar codes

Compare codes

G0408 vs G0406 vs G0407 vs G0427: national Medicare rates

Swap in your local Medicare rate.

  • G0408
    Inpatient follow-up · 2 wRVU
    —
  • G0406
    Inpatient follow-up · 0.76 wRVU
    —
  • G0407
    Inpatient follow-up · 1.39 wRVU
    —
  • G0427
    Telehealth consult · 3.86 wRVU
    —

How to choose

G0406Inpatient follow-up
G0406 is the shorter follow-up inpatient telehealth consultation level, typically 15 minutes; G0408 is the 35-minute level.
G0407Inpatient follow-up
G0407 is the intermediate follow-up level, typically 25 minutes. Use G0408 when the follow-up service supports the 35-minute level.
G0427Telehealth consult
G0427 describes an initial inpatient or emergency department telehealth consultation at a longer level. G0408 is for a follow-up consultation.

Codes related to G0408

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

Codes related to G0408
CodeHow it relatesNational office range
Same family
G0406Inpatient follow-upShorter-level follow-up inpatient telehealth consultation.No office rate
G0407Inpatient follow-upIntermediate-level follow-up inpatient telehealth consultation.No office rate
Used instead
G0425Hospital teleconsultInitial inpatient or emergency department telehealth consultation at a shorter level.No office rate
G0426TeleconsultationInitial inpatient or emergency department telehealth consultation at an intermediate level.No office rate
G0427Telehealth consultInitial inpatient or emergency department telehealth consultation at a longer level.No office rate

G0408 billing questions

How does G0408 differ from G0407?

Both represent follow-up inpatient telehealth consultations. G0408 is the 35-minute level; G0407 is the shorter, 25-minute level.

Can G0408 describe the initial inpatient telehealth consultation?

No. G0408 is for follow-up. Initial inpatient or emergency department telehealth consultations are represented by the G0425–G0427 code family.

What documentation supports G0408?

Document the follow-up nature of the consultation, the patient’s clinical issues, the physician’s assessment and recommendations, and the time supporting the 35-minute level.

Does G0408 represent multiple 35-minute units?

No. It represents the follow-up consultation at the 35-minute level, not a quantity of 35-minute time increments.

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 G0408PPRRVU2026_Oct_nonQPP.csv, line 15,237 (RVU26D)

Open CMS sourceHow we calculate rates

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