HCPCS G0539: Caregiver trainingMedicare rate & RVUs
Reports individual, in-person training for a patient’s caregiver with the patient present, covering practical support for the patient’s functional needs.
Medicare pays $53.11 for G0539 nationally in the office and $39.75 in a hospital or facility. Local office rates run $50.21–$70.92.
Medicare rate · G0539
Caregiver training
Swap in your local Medicare rate.
- Work RVUs
- 1
- Total RVUs
- 1.59
- Global days
- XXX
National rate · 2026
$53.11
Office setting, before claim adjustments.
See every locality for G0539 → · 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 G0539 covers
G0539 represents an individual, in-person session to teach a caregiver practical strategies for supporting the patient’s functional needs, with the patient present. A clinician may demonstrate or coach techniques related to daily activities, mobility, or safe assistance in the home or community. Physical and occupational therapists are common providers when caregiver instruction is part of the patient’s care.
Report G0539 for the initial 30 minutes of qualifying training. If training continues beyond that initial service, G0540 is the related code for each additional 15 minutes. Documentation should identify the caregiver and patient, confirm the patient’s presence, describe the functional goals and techniques taught, and record the training time. Keep the training service distinct in the record from any separately provided direct treatment to the patient.
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 G0539 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
$50.21 to $70.92
109 of 109 payment localities
G0539 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.
$50.21
$70.92
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $70.92 | 1 |
| AL | $50.54 | 1 |
| AR | $50.21 | 1 |
| AZ | $52.46 | 1 |
| CA | $55.38–$65.19 | 29 |
| CO | $54.67 | 1 |
| CT | $55.34 | 1 |
| DC | $58.40 | 1 |
| DE | $53.01 | 1 |
| FL | $52.42–$54.41 | 3 |
| GA | $51.08–$53.58 | 2 |
| GU | $55.62 | 1 |
| HI | $55.62 | 1 |
| IA | $51.26 | 1 |
| ID | $51.38 | 1 |
| IL | $51.61–$54.12 | 4 |
| IN | $51.52 | 1 |
| KS | $51.08 | 1 |
| KY | $50.93 | 1 |
| LA | $50.87–$52.01 | 2 |
| MA | $54.60–$58.20 | 2 |
| MD | $53.65–$58.40 | 3 |
| ME | $51.43–$52.81 | 2 |
| MI | $51.47–$52.66 | 2 |
| MN | $53.43 | 1 |
| MO | $50.43–$52.18 | 3 |
| MS | $50.33 | 1 |
| MT | $53.11 | 1 |
| NC | $51.69 | 1 |
| ND | $52.91 | 1 |
| NE | $51.41 | 1 |
| NH | $53.86 | 1 |
| NJ | $56.26–$58.33 | 2 |
| NM | $51.57 | 1 |
| NV | $53.07 | 1 |
| NY | $52.04–$59.19 | 5 |
| OH | $51.42 | 1 |
| OK | $50.96 | 1 |
| OR | $52.93–$55.71 | 2 |
| PA | $51.50–$54.57 | 2 |
| PR | $53.32 | 1 |
| RI | $54.35 | 1 |
| SC | $51.59 | 1 |
| SD | $52.89 | 1 |
| TN | $51.19 | 1 |
| TX | $51.34–$54.26 | 8 |
| UT | $51.91 | 1 |
| VA | $52.68–$58.40 | 2 |
| VI | $53.32 | 1 |
| VT | $52.75 | 1 |
| WA | $54.49–$59.11 | 2 |
| WI | $52.06 | 1 |
| WV | $50.71 | 1 |
| WY | $53.02 | 1 |
How the G0539 rate is calculated
Each of G0539’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 · G0539
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.00Practice expense 0.58Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0539
G0539 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 · G0539
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$53.11
The facility rate would be $39.75 (+$13.36). In a facility, the facility bills its own costs separately.
G0539 compared with similar codes
Compare codes
G0539 vs G0540 vs G0541 vs G0543: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0540Caregiver training
- G0539 covers the initial 30 minutes of individual training with the patient present; G0540 is for each additional 15 minutes.
- G0541Caregiver training
- Use G0541 for the initial individual caregiver training when the patient is absent. G0539 requires the patient to be present.
- G0543Caregiver training
- G0543 is for group caregiver training without the patient; G0539 is individual training with the patient present.
G0539 billing questions
Does the patient need to be present for G0539?
Yes. G0539 is for individual caregiver training with the patient present; G0541 is the corresponding initial service when the patient is absent.
How is training beyond the initial 30 minutes reported?
Use G0540 for each additional 15 minutes of qualifying caregiver training after the G0539 initial service.
What should the note include?
Document who received the instruction, that the patient was present, the functional goal, the techniques taught or practiced, and the time spent training.
Can G0539 describe a group caregiver session?
No. G0539 is for individual training; G0543 describes group caregiver training without the patient.
Is direct treatment of the patient part of G0539?
G0539 describes caregiver instruction, not a substitute for documenting direct treatment. Record any separate patient treatment as its own service when provided.
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
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