HCPCS G0476Medicare rate & RVUs

Compare G0476 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.8K Medicare services in 2024

Medicare rate · G0476

Code G0476

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

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Not priced in the facility setting.

See every locality for G0476 →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 6 sections
  1. Medicare rate
  2. By payment locality
  3. Rate map
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where G0476 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

$35.09 to $35.09

$35.09$35.59$35.09
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

G0476 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$35.09$35.09
Alaska*$35.09$35.09
Arizona$35.09$35.09
Arkansas$35.09$35.09
Atlanta$35.09$35.09
Austin$35.09$35.09
Bakersfield$35.09$35.09
Baltimore/Surr. Cntys$35.09$35.09
Beaumont$35.09$35.09
Brazoria$35.09$35.09

G0476 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.

$35.09

$35.09

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0476 office rate range by state
State / territoryOffice rate rangeLocalities
AK$35.091
AL$35.091
AR$35.091
AZ$35.091
CA$35.0929
CO$35.091
CT$35.091
DC$35.091
DE$35.091
FL$35.093
GA$35.092
GU$35.091
HI$35.091
IA$35.091
ID$35.091
IL$35.094
IN$35.091
KS$35.091
KY$35.091
LA$35.092
MA$35.092
MD$35.093
ME$35.092
MI$35.092
MN$35.091
MO$35.093
MS$35.091
MT$35.091
NC$35.091
ND$35.091
NE$35.091
NH$35.091
NJ$35.092
NM$35.091
NV$35.091
NY$35.095
OH$35.091
OK$35.091
OR$35.092
PA$35.092
PR$35.091
RI$35.091
SC$35.091
SD$35.091
TN$35.091
TX$35.098
UT$35.091
VA$35.092
VI$35.091
VT$35.091
WA$35.092
WI$35.091
WV$35.091
WY$35.091

How the G0476 rate is calculated

Each of G0476’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 · G0476

RVUs × geographic indexes × conversion factor

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for G0476

G0476 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 · G0476

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

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G0476 isn’t priced in this setting.

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

Open CMS sourceHow we calculate rates

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