No office rate
G0508 represents the initial critical-care telehealth consultation and carries a 60-minute designation; G0509 is for a subsequent consultation with a 50-minute designation.
On this page
CMS RVU26D · Effective 2026-10-01
G0509 Critical care consult Medicare reimbursement rates
Reports a subsequent 50-minute telehealth consultation by a physician evaluating and advising on the care of a critically ill patient. Compare G0509 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 G0509?
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 G0509 pays more and less
Telehealth consultation
About G0509: Subsequent critical care telehealth consultation
Reports a subsequent 50-minute telehealth consultation by a physician evaluating and advising on the care of a critically ill patient.
G0509 represents a subsequent critical-care telehealth consultation for a critically ill patient. A physician with relevant critical-care expertise evaluates the patient remotely, reviews available clinical information, and discusses the assessment and recommendations with the bedside treating team. This service is distinct from the initial 60-minute critical-care telehealth consultation represented by G0508 and from the bedside clinician’s own critical-care evaluation and management service.
Select G0509 when the consultation is subsequent rather than initial and the service meets the code’s 50-minute designation. Documentation should identify the remote consultation, the patient’s critical illness, the consultant’s assessment and recommendations, and the time supporting the service. CMS assigns work, practice-expense, and malpractice relative value units to the service; the fee schedule presents payment rates separately.
Where the value comes from
- Work RVU3.86 · 73%
- Practice expense (office) RVU1.06 · 20%
- Malpractice RVU0.36 · 7%
7.1K
Medicare services in 2024 · #1651 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.
G0509 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$281.30–$386.53
99291 reports critical-care evaluation and management, while G0509 identifies a subsequent telehealth consultation with the bedside treating team.
$33.14–$47.02
99451 is an interprofessional consultation service. G0509 represents a critical-care telehealth consultation involving the critically ill patient and treating team.
See how rates vary across the country
G0509 · 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 G0509 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 $166.71 |
| Alaska* | Office Unavailable | Facility $237.72 |
| Arizona | Office Unavailable | Facility $173.53 |
| Arkansas | Office Unavailable | Facility $165.53 |
| Atlanta | Office Unavailable | Facility $179.73 |
| Austin | Office Unavailable | Facility $177.30 |
| Bakersfield | Office Unavailable | Facility $177.50 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $183.85 |
| Beaumont | Office Unavailable | Facility $172.32 |
| Brazoria | Office Unavailable | Facility $174.42 |
| Chicago | Office Unavailable | Facility $193.01 |
| Chico | Office Unavailable | Facility $176.37 |
| Colorado | Office Unavailable | Facility $177.54 |
| Connecticut | Office Unavailable | Facility $184.19 |
| Dallas | Office Unavailable | Facility $175.67 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $190.98 |
| Delaware | Office Unavailable | Facility $175.36 |
| Detroit | Office Unavailable | Facility $183.37 |
| East St. Louis | Office Unavailable | Facility $185.72 |
| El Centro | Office Unavailable | Facility $176.43 |
| Fort Lauderdale | Office Unavailable | Facility $186.53 |
| Fort Worth | Office Unavailable | Facility $175.47 |
| Fresno | Office Unavailable | Facility $176.37 |
| Galveston | Office Unavailable | Facility $175.07 |
| Hanford-Corcoran | Office Unavailable | Facility $176.37 |
| Hawaii, Guam | Office Unavailable | Facility $176.14 |
| Houston | Office Unavailable | Facility $181.66 |
| Idaho | Office Unavailable | Facility $167.19 |
| Indiana | Office Unavailable | Facility $167.59 |
| Iowa | Office Unavailable | Facility $166.10 |
| Kansas | Office Unavailable | Facility $166.99 |
| Kentucky | Office Unavailable | Facility $171.40 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $184.08 |
| Madera | Office Unavailable | Facility $176.37 |
| Manhattan | Office Unavailable | Facility $197.39 |
| Merced | Office Unavailable | Facility $176.37 |
| Metropolitan Boston | Office Unavailable | Facility $187.19 |
| Metropolitan Kansas City | Office Unavailable | Facility $173.92 |
| Metropolitan Philadelphia | Office Unavailable | Facility $182.45 |
| Metropolitan St. Louis | Office Unavailable | Facility $174.68 |
| Miami | Office Unavailable | Facility $196.19 |
| Minnesota | Office Unavailable | Facility $168.92 |
| Mississippi | Office Unavailable | Facility $168.30 |
| Modesto | Office Unavailable | Facility $176.37 |
| Montana** | Office Unavailable | Facility $176.33 |
| Napa | Office Unavailable | Facility $189.82 |
| Nebraska | Office Unavailable | Facility $166.15 |
| Nevada** | Office Unavailable | Facility $174.38 |
| New Hampshire | Office Unavailable | Facility $176.31 |
| New Mexico | Office Unavailable | Facility $175.84 |
| New Orleans | Office Unavailable | Facility $175.90 |
| North Carolina | Office Unavailable | Facility $169.64 |
| North Dakota** | Office Unavailable | Facility $169.21 |
| Northern Nj | Office Unavailable | Facility $190.96 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $201.60 |
| Ohio | Office Unavailable | Facility $173.37 |
| Oklahoma | Office Unavailable | Facility $169.89 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $181.88 |
| Portland | Office Unavailable | Facility $179.27 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $188.05 |
| Puerto Rico | Office Unavailable | Facility $176.57 |
| Queens | Office Unavailable | Facility $196.37 |
| Redding | Office Unavailable | Facility $176.37 |
| Rest Of California | Office Unavailable | Facility $176.37 |
| Rest Of Florida | Office Unavailable | Facility $180.85 |
| Rest Of Georgia | Office Unavailable | Facility $174.84 |
| Rest Of Illinois | Office Unavailable | Facility $180.05 |
| Rest Of Louisiana | Office Unavailable | Facility $171.78 |
| Rest Of Maine | Office Unavailable | Facility $168.98 |
| Rest Of Maryland | Office Unavailable | Facility $177.08 |
| Rest Of Massachusetts | Office Unavailable | Facility $177.86 |
| Rest Of Michigan | Office Unavailable | Facility $174.83 |
| Rest Of Missouri | Office Unavailable | Facility $171.16 |
| Rest Of New Jersey | Office Unavailable | Facility $185.94 |
| Rest Of New York | Office Unavailable | Facility $171.02 |
| Rest Of Oregon | Office Unavailable | Facility $172.64 |
| Rest Of Pennsylvania | Office Unavailable | Facility $172.79 |
| Rest Of Texas | Office Unavailable | Facility $173.38 |
| Rest Of Washington | Office Unavailable | Facility $177.04 |
| Rhode Island | Office Unavailable | Facility $178.68 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $180.31 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $181.19 |
| Salinas | Office Unavailable | Facility $180.40 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $181.66 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $196.62 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $196.21 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $200.61 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $198.94 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $177.89 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $181.10 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $180.26 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $182.72 |
| Seattle (King Cnty) | Office Unavailable | Facility $188.64 |
| South Carolina | Office Unavailable | Facility $171.86 |
| South Dakota** | Office Unavailable | Facility $168.37 |
| Southern Maine | Office Unavailable | Facility $171.60 |
| Stockton | Office Unavailable | Facility $176.37 |
| Suburban Chicago | Office Unavailable | Facility $187.50 |
| Tennessee | Office Unavailable | Facility $167.57 |
| Utah | Office Unavailable | Facility $173.01 |
| Vallejo | Office Unavailable | Facility $189.23 |
| Vermont | Office Unavailable | Facility $170.06 |
| Virgin Islands | Office Unavailable | Facility $176.57 |
| Virginia | Office Unavailable | Facility $172.22 |
| Visalia | Office Unavailable | Facility $176.37 |
| West Virginia | Office Unavailable | Facility $176.90 |
| Wisconsin | Office Unavailable | Facility $166.55 |
| Wyoming** | Office Unavailable | Facility $173.23 |
| Yuba City | Office Unavailable | Facility $176.37 |
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G0509 billing questions
When should G0509 be chosen instead of G0508?
G0509 is for a subsequent critical-care telehealth consultation designated for 50 minutes. G0508 represents the initial consultation, designated for 60 minutes.
What documentation supports G0509?
Document that the consultation was remote and subsequent, the patient’s critical illness, the consultant’s evaluation and recommendations, and the time supporting the service.
Does the 50-minute designation refer to the consultation time?
Yes. The code identifies a subsequent critical-care telehealth consultation with a 50-minute designation; record the time supporting the service.
Can G0509 be used for the bedside clinician’s critical-care service?
No. G0509 describes a subsequent remote consultation; it is distinct from the bedside clinician’s critical-care evaluation and management service.
How does G0509 differ from an interprofessional consultation code?
G0509 describes a critical-care telehealth consultation involving the patient and treating team. An interprofessional consultation such as 99451 is a separate service format.
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.
15,305G0501,,Resource-inten svc during ov,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,306G0506,,Comp asses care plan ccm svc,A,,0.87,1.06,,0.22,,0.06,1.99,1.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,307G0508,,Crit care telehea consult 60,A,,4.00,1.17,NA,1.17,,0.36,5.53,5.53,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,308G0509,,Crit care telehea consult 50,A,,3.86,1.06,NA,1.06,,0.36,5.28,5.28,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,309G0513,,"Prolong prev svcs, first 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,310G0514,,"Prolong prev svcs, addl 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,311G0516,,"Insert drug del implant, >=4",A,,1.77,3.32,,0.62,,0.15,5.24,2.54,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00