HCPCS G0514: Prolonged preventive serviceMedicare rate & RVUs
G0514 reports each additional 30-minute segment of prolonged preventive service time after the initial prolonged segment in an office or outpatient setting.
Medicare pays $64.80 for G0514 nationally in the office and $50.77 in a hospital or facility. Local office rates run $60.37–$84.81.
Medicare rate · G0514
Prolonged preventive service
Swap in your local Medicare rate.
- Work RVUs
- 1.17
- Total RVUs
- 1.94
- Global days
- ZZZ
National rate · 2026
$64.80
Office setting, before claim adjustments.
See every locality for G0514 → · 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 G0514 covers
G0514 represents additional time spent furnishing a preventive service after the initial prolonged segment. It is used in an office or other outpatient setting when the clinician continues direct patient contact beyond the usual preventive service time. A common context is an extended Medicare Annual Wellness Visit, such as when reviewing complex health risks and completing preventive planning takes substantially longer than usual. The clinician’s work must remain part of the preventive service; time spent on a separate problem-oriented evaluation is not, by itself, prolonged preventive service time.
G0514 is an add-on code, not a stand-alone service: report it only after the initial prolonged segment represented by G0513 and with the underlying primary preventive service. Document the total time and the preventive work performed so the additional segment is supported. CMS identifies G0514 as an add-on paid within the primary procedure’s global period; payment is tied to that primary service rather than treated as an independent service.
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 G0514 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
$60.37 to $84.81
109 of 109 payment localities
G0514 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.
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$60.37
$84.81
Color shows the midpoint of each state’s locality range.
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| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $84.81 | 1 |
| AL | $60.86 | 1 |
| AR | $60.37 | 1 |
| AZ | $63.74 | 1 |
| CA | $66.62–$78.35 | 29 |
| CO | $66.25 | 1 |
| CT | $67.87 | 1 |
| DC | $71.33 | 1 |
| DE | $64.48 | 1 |
| FL | $64.95–$69.33 | 3 |
| GA | $62.72–$65.76 | 2 |
| GU | $67.02 | 1 |
| HI | $67.02 | 1 |
| IA | $61.40 | 1 |
| ID | $61.70 | 1 |
| IL | $64.08–$68.22 | 4 |
| IN | $61.89 | 1 |
| KS | $61.39 | 1 |
| KY | $62.00 | 1 |
| LA | $62.01–$63.74 | 2 |
| MA | $66.19–$70.68 | 2 |
| MD | $65.28–$71.33 | 3 |
| ME | $62.04–$63.72 | 2 |
| MI | $63.07–$65.58 | 2 |
| MN | $63.83 | 1 |
| MO | $61.51–$63.68 | 3 |
| MS | $60.94 | 1 |
| MT | $64.79 | 1 |
| NC | $62.39 | 1 |
| ND | $63.41 | 1 |
| NE | $61.54 | 1 |
| NH | $65.46 | 1 |
| NJ | $68.74–$71.16 | 2 |
| NM | $63.33 | 1 |
| NV | $64.43 | 1 |
| NY | $62.93–$73.72 | 5 |
| OH | $62.78 | 1 |
| OK | $61.77 | 1 |
| OR | $64.01–$67.42 | 2 |
| PA | $62.75–$66.91 | 2 |
| PR | $65.02 | 1 |
| RI | $66.06 | 1 |
| SC | $62.67 | 1 |
| SD | $63.25 | 1 |
| TN | $61.59 | 1 |
| TX | $62.53–$65.97 | 8 |
| UT | $63.16 | 1 |
| VA | $63.71–$71.33 | 2 |
| VI | $65.02 | 1 |
| VT | $63.41 | 1 |
| WA | $65.99–$71.63 | 2 |
| WI | $62.20 | 1 |
| WV | $62.74 | 1 |
| WY | $64.19 | 1 |
How the G0514 rate is calculated
Each of G0514’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 · G0514
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.17Practice expense 0.70Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0514
The CMS indicators that decide how G0514 is paid alongside other services.
CMS payment indicators · G0514
Prolonged preventive service
| 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. |
G0514 compared with similar codes
Compare codes
G0514 vs G0513 vs G2212 vs 99417: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0513Prolonged preventive care
- G0513 is for the initial prolonged preventive segment; G0514 is for additional segments after it.
- G2212Prolonged office visit
- G2212 is for prolonged office or outpatient E/M service time, while G0514 is for additional time spent on a preventive service.
- 99417Prolng op e/m each 15 min
- 99417 is a prolonged E/M add-on code, not the code for additional prolonged preventive service time reported with G0514.
G0514 billing questions
Can G0514 be reported by itself?
No. G0514 is for additional prolonged preventive service time and follows the initial prolonged segment reported with G0513, alongside the primary preventive service.
How does G0514 differ from G0513?
G0513 represents the first prolonged 30-minute segment. G0514 represents each additional 30-minute segment after that initial segment.
Can G0514 be used when an Annual Wellness Visit runs long?
It may be appropriate when the extra time is spent on the preventive service itself, such as risk review and preventive planning, and the required prolonged segments are supported.
Can time spent addressing a new problem count toward G0514?
Time devoted to a separate problem-oriented evaluation is not prolonged preventive service time. Keep the documented preventive work distinct from any separately reportable problem-oriented service.
What documentation supports G0514?
Record the total time and describe the preventive work performed during the additional time. The record should support the initial prolonged segment and each additional segment reported.
How is G0514 paid with the primary service?
CMS treats it as an add-on paid within the primary procedure’s global period, rather than as an independent service.
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
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