HCPCS G0543: Caregiver trainingMedicare rate & RVUs
Reports a 30-minute group caregiver-training session conducted face-to-face without the patient, when multiple caregivers receive instruction tied to the patient’s care.
Medicare pays $22.04 for G0543 nationally in the office and $9.35 in a hospital or facility. Local office rates run $19.90–$28.94.
Medicare rate · G0543
Caregiver training
- Work RVUs
- 0.23
- Total RVUs
- 0.66
- Global days
- XXX
National rate · 2026
$22.04
Office setting, before claim adjustments.
See every locality for G0543 →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 G0543 covers
G0543 represents face-to-face caregiver instruction delivered to a group without the patient present. The training is directed to the patient’s needs and may involve caregivers learning strategies to support the patient’s function or carry out care safely. A treating clinician, such as a therapist or other qualified practitioner involved in the patient’s care, provides the instruction. The group format distinguishes this service from one-to-one caregiver training.
Select G0543 for a 30-minute group session, rather than the individual caregiver-training codes. Document that the patient was absent, that multiple caregivers participated, the training’s connection to the patient’s care, the skills or strategies taught, and the time spent. CMS assigns work, practice-expense, and malpractice RVUs to the service under the physician fee schedule; the applicable payment is based on the fee schedule data for the claim.
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 G0543 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
$19.90 to $28.94
109 of 109 payment localities
G0543 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.
$19.90
$26.65
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 | $26.65 | 1 |
| AL | $20.15 | 1 |
| AR | $19.90 | 1 |
| AZ | $21.56 | 1 |
| CA | $23.37–$28.94 | 29 |
| CO | $22.96 | 1 |
| CT | $23.35 | 1 |
| DC | $24.99 | 1 |
| DE | $21.88 | 1 |
| FL | $21.60–$23.13 | 3 |
| GA | $20.59–$22.36 | 2 |
| GU | $23.83 | 1 |
| HI | $23.83 | 1 |
| IA | $20.65 | 1 |
| ID | $20.75 | 1 |
| IL | $21.01–$22.73 | 4 |
| IN | $20.85 | 1 |
| KS | $20.53 | 1 |
| KY | $20.46 | 1 |
| LA | $20.42–$21.26 | 2 |
| MA | $22.84–$25.04 | 2 |
| MD | $22.26–$24.99 | 3 |
| ME | $20.80–$21.80 | 2 |
| MI | $20.87–$21.78 | 2 |
| MN | $22.22 | 1 |
| MO | $20.10–$21.37 | 3 |
| MS | $20.01 | 1 |
| MT | $22.04 | 1 |
| NC | $20.98 | 1 |
| ND | $21.85 | 1 |
| NE | $20.76 | 1 |
| NH | $22.58 | 1 |
| NJ | $23.67–$24.80 | 2 |
| NM | $20.95 | 1 |
| NV | $22.00 | 1 |
| NY | $21.24–$25.47 | 5 |
| OH | $20.83 | 1 |
| OK | $20.47 | 1 |
| OR | $21.89–$23.64 | 2 |
| PA | $20.88–$22.82 | 2 |
| PR | $22.19 | 1 |
| RI | $22.62 | 1 |
| SC | $20.93 | 1 |
| SD | $21.82 | 1 |
| TN | $20.61 | 1 |
| TX | $20.76–$22.84 | 8 |
| UT | $21.17 | 1 |
| VA | $21.71–$24.99 | 2 |
| VI | $22.19 | 1 |
| VT | $21.74 | 1 |
| WA | $22.81–$25.55 | 2 |
| WI | $21.22 | 1 |
| WV | $20.35 | 1 |
| WY | $21.96 | 1 |
How the G0543 rate is calculated
Each of G0543’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 · G0543
RVUs × geographic indexes × conversion factor
Work0.23
0.23 RVUs× 1.000 GPCI
Practice expense0.42
0.42 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.6600
Conversion factor
$33.4009
Medicare rate
$22.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0543
G0543 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 · G0543
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$22.04
- Non-facility (office)
- $22.04
- Facility
- $9.35
Higher because the practice carries its own overhead.
G0543 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G0541Caregiver training
- G0541 is individual caregiver training without the patient; G0543 is for training delivered to a group without the patient.
- G0539Caregiver training
- G0539 is initial caregiver training with the patient present. G0543 describes a group session in which the patient is absent.
- G0542Caregiver training
- G0542 is additional time for individual caregiver training without the patient, not the group-session code.
G0543 billing questions
Does the patient attend a G0543 session?
No. G0543 is for group caregiver training conducted without the patient present.
How does G0543 differ from G0541?
G0543 is for group training, while G0541 describes individual caregiver training without the patient. Choose based on whether the instruction is delivered to a group or one caregiver.
What time does G0543 represent?
G0543 represents a 30-minute group training session. Document the session time and group format.
Can G0543 be used for one caregiver receiving instruction?
No. The defining feature is group training; individual instruction is represented by the applicable individual caregiver-training code.
What should the record support?
Document the caregivers’ participation, the patient’s absence, the patient-related goals or care needs addressed, the instruction provided, and the time spent.
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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